| NPI | 1922544865 |
|---|---|
| Doing Business As | DVC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LISA STODDARD Office Manager 662-513-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 15100) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-02-14 |