# FIRST PHARMACY SERVICES OF SARDIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043703820
- **Authorized official:** SHANNON Y HART CPHT (BILLING COORDINATOR)
- **Authorized official phone:** (662) 932-2097

## Contact information

- **Practice address:** 400 EAST LEE STREET, SARDIS, MS 38666
- **Practice address phone:** (662) 349-6385
- **Practice address fax:** (662) 932-2099
- **Mailing address:** P.O. BOX 47, POPE, MS 38658
- **Mailing address phone:** (662) 349-6385
- **Mailing address fax:** (662) 932-2099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 170631.1 | MS | Yes |

## Other

- **Enumeration date:** 06/07/2018
- **Last updated:** 06/07/2018