| NPI | 1851390892 |
|---|---|
| Doing Business As | COVENANT PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM RICHARD WHITWELL Manager 601-326-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MS 05087) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-02-04 |