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Organization
PHARMACY MANAGEMENT GROUP
Active
Organization
PHARMACY MANAGEMENT GROUP
Active
Other names
TOTAL CARE PHARMACY OF STARKVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
RON HARRIS (CEO MANG MEMBER)
(662) 327-4025
Entity
Organization
Contact information
Practice address
200 HOSPITAL RD, BLDG 3 PROFESSIONAL PLAZA, STARKVILLE, MS 39759
(662) 323-0885
(662) 323-7298
Mailing address
101 12TH ST S, COLUMBUS, MS 39701-5830
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
07472
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330538
—
MS
01
—
2520131
OTHER ID NUMBER
—
Enumeration date
06/20/2006
Last updated
10/19/2007
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