| NPI | 1790882413 |
|---|---|
| Doing Business As | SOUTHERN DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | JAMES E GABLE Vice President/Pharmacist 662-328-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-06040) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |