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Suppliers Pharmacy Long Term Care Pharmacy

Provider NPI: 1598750135

Organization Information:
Organization is not Subpart
Authorized Official:  VICKI S. VEAZEY  PHARMACY DIRECTOR  601-351-8026

Practice Location:
3550 HIGHWAY 468 W  WHITFIELD, MS 39193 US
Tel: 601-351-8000  Fax: 601-351-8255

Business Mailing Address:
Tel: 601-351-8026  Fax: 601-351-8255

NPI Information:
NPI: 1598750135
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Long Term Care Pharmacy
Psychiatric Hospital
N313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 3336I0012X





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