| NPI | 1861438772 |
|---|---|
| Doing Business As | MIDSOUTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALAN HARPER PIC 870-864-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: AR AR20347) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2016-12-01 |