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Organization
PHARMACY MANAGEMENT GROUP
Active
Organization
PHARMACY MANAGEMENT GROUP
Active
Other names
Total Care Pharmacy of Water Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY OSWALT (EXECUTIVE ASSISTANT)
(662) 327-4025
Entity
Organization
Contact information
Practice address
111 N MAIN ST, WATER VALLEY, MS 38965-2905
(662) 473-1245
(662) 473-1247
Mailing address
111 N MAIN ST, WATER VALLEY, MS 38965-2905
(662) 327-4025
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07473
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2520143
NCPDP
MS
01
—
2520143
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/24/2006
Last updated
03/07/2023
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