| NPI | 1912452921 |
|---|---|
| Doing Business As | SPORTS MEDICINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GREGORY MCLAURIN Director Of Pharmacy Services 601-949-9105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MS 14908) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2025-10-23 |