| NPI | 1750402798 |
|---|---|
| Doing Business As | B EMMELINE SMITH CLINIC |
| Entity Type | Organization |
| Authorized Contact | CELESTE TISDALE Phcy Mngr 601-266-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: MS 01065) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-07-14 |