# PHARMACY MANAGEMENT GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Total Care Pharmacy of Water Valley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114953726
- **Authorized official:** MISTY OSWALT (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (662) 327-4025

## Contact information

- **Practice address:** 111 N MAIN ST, WATER VALLEY, MS 38965-2905
- **Practice address phone:** (662) 473-1245
- **Practice address fax:** (662) 473-1247
- **Mailing address:** 111 N MAIN ST, WATER VALLEY, MS 38965-2905
- **Mailing address phone:** (662) 327-4025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07473 | MS | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2520143 | NCPDP | MS |
| 01 | — | 2520143 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |