| NPI | 1932138872 |
|---|---|
| Doing Business As | POLK'S DISCOUNT DRUGS # 4 |
| Entity Type | Organization |
| Authorized Contact | ANDREW L HUBBARD Manger 601-992-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS 02279) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2021-04-02 |