| NPI | 1770158339 |
|---|---|
| Doing Business As | GOOD SHEPHERD CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID WOLGAMOTT Office Manager 601-426-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |