| NPI | 1811731250 |
|---|---|
| Doing Business As | PANOLA PHARMACY, LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER J SULLIVANT Owner 662-934-3039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |