| NPI | 1750421293 |
|---|---|
| Doing Business As | SOUTHWEST DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | OSHER MOORE Owner 601-898-7885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 0077500) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-09-25 |