| NPI | 1831231851 |
|---|---|
| Doing Business As | CITY DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | CHARLES CONOVA President 601-888-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 01762/1.1) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2016-03-07 |