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Organization
PEYTEN, LTD.
Active
Organization
PEYTEN, LTD.
Active
Other names
Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA C TENNIN PHARM D (OWNER/PHARMACIST)
(601) 407-1440
Entity
Organization
Contact information
Practice address
1883 HIGHWAY 43 S, SUITE A, CANTON, MS 39046-8405
(601) 407-1440
(601) 407-1441
Mailing address
1883 HIGHWAY 43 S, SUITE A, CANTON, MS 39046-8405
(601) 407-1440
(601) 407-1441
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E7245
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07775397
—
MS
05
—
08673232
—
MS
Enumeration date
09/20/2005
Last updated
08/22/2020
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