Organization
BRENTWOOD ACQUISITION PHARMACY
Active
Parent organization
BRENTWOOD ACQUISITION
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRENTWOOD ACQUISITION
Authorized official
SAMANTHA MEDINA PHARM.D (DIRECTOR OF PHARMACY)
(601) 936-7845
Entity
Organization
Contact information
Practice address
3531 LAKELAND DR, FLOWOOD, MS 39232-8049
(601) 936-7845
(601) 936-7846
Mailing address
3531 LAKELAND DR, FLOWOOD, MS 39232-8049
(601) 936-7845
(601) 936-7846
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
05066/3.1
MS
Other
Enumeration date
03/22/2017
Last updated
03/11/2019
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