NPI | 1972642775 |
---|---|
Doing Business As | MEDICAL PLAZA PHARMACY |
Entity Type | Organization |
Authorized Contact | RICK W QUINN Pharmacist Owner 662-286-6991 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 0135101.1) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2009-01-07 |