| NPI | 1912918558 |
|---|---|
| Doing Business As | GENE POLKS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRINSON POLK Owner 601-849-2533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00445/1.1) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-12-01 |