| NPI | 1902359342 |
|---|---|
| Doing Business As | MIKE'S PHARMACY, A MEMEBER OF THE MEDICINE SHOPPE FAMILY |
| Entity Type | Organization |
| Authorized Contact | MIKE KLEPZIG Pharmacist In Charge 662-892-8448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 14901/1.1) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-12-01 |