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Organization
METRO PHARMACY INC
Active
Organization
METRO PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN D BRANTLEY PHARMACIST (VICE PRESIDENT. SECRETARY TREASURE)
(601) 346-5567
Entity
Organization
Contact information
Practice address
1815 HOSPITAL DR, JACKSON, MS 39204-3425
(601) 346-5567
(601) 346-7371
Mailing address
1815 HOSPITAL DR, SUITE 118, JACKSON, MS 39204-3425
(601) 346-5567
(601) 346-7371
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
02268 01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030365
—
MS
01
—
2517021
NABP
—
Enumeration date
02/12/2007
Last updated
08/21/2007
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