# PHARMACY MANAGEMENT GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TOTAL CARE PHARMACY OF STARKVILLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174568240
- **Authorized official:** RON HARRIS (CEO MANG MEMBER)
- **Authorized official phone:** (662) 327-4025

## Contact information

- **Practice address:** 200 HOSPITAL RD, BLDG 3 PROFESSIONAL PLAZA, STARKVILLE, MS 39759
- **Practice address phone:** (662) 323-0885
- **Practice address fax:** (662) 323-7298
- **Mailing address:** 101 12TH ST S, COLUMBUS, MS 39701-5830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 07472 | MS | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 10/19/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330538 | — | MS |
| 01 | — | 2520131 | OTHER ID NUMBER | — |