Whalio Doctors

NPI 1023614724

Northtown Pharmacy LLC

Organisation Pharmacy Jackson, MS

Practice location

Address
6220 Old Canton Rd, Jackson, MS 39211-2924
Phone
(601) 665-4694
Fax
(769) 333-9173

Authorised official

Name
Andrew Clark
Title
Ceo/Founder
Phone
(601) 665-4694

Registered specialties (2)

Pharmacy Primary
Suppliers Taxonomy 333600000X
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X

Registry record

NPI
1023614724
Entity type
Organization
NPI issued
8 Dec 2020
Record last updated
7 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.