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Organization
ANDERSON'S PHARMACY, LLC
Active
Organization
ANDERSON'S PHARMACY, LLC
Active
Other names
Anderson's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA STUART SMITH (OWNER/PIC)
(662) 237-6615
Entity
Organization
Contact information
Practice address
112 E MAIN ST, N CARROLLTON, MS 38947-2000
(662) 237-9294
(662) 237-9292
Mailing address
112 E MAIN ST, N CARROLLTON, MS 38947-2000
(662) 237-9294
(662) 237-9292
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
01580/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00033243
—
MS
01
—
2043327
PK
—
Enumeration date
07/30/2006
Last updated
11/19/2018
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