| NPI | 1952452930 |
|---|---|
| Doing Business As | NORTHSHORE DISCOUNT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GREGORY WENDLING President 601-403-8662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 3721IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2012-11-27 |