# APOTHECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ApotheCare,LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093955544
- **Authorized official:** MICHAEL MILSTEAD (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (601) 384-3105

## Contact information

- **Practice address:** 82 MAIN ST W, MEADVILLE, MS 39653-9320
- **Practice address phone:** (601) 384-3105
- **Practice address fax:** (601) 384-3108
- **Mailing address:** PO BOX 919, MEADVILLE, MS 39653-0910
- **Mailing address phone:** (601) 384-3105
- **Mailing address fax:** (601) 384-3108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 08046/02.3 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY.007269-NR | LA | Yes |

## Other

- **Enumeration date:** 02/24/2009
- **Last updated:** 03/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 06070017 | — | MS |
| 01 | — | 2119623 | PK | — |
| 05 | — | 2204408 | — | LA |