| NPI | 1891171351 |
|---|---|
| Doing Business As | PRIME URGENT MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CLARK LEVI Member 228-447-3823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: MS 14440) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2016-05-10 |