| NPI | 1801553367 |
|---|---|
| Doing Business As | HOLLIS DISCOUNT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JIMMY L TUCKER CEO/President 662-837-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |