# PHARMAKEUS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MARTYS PHARMACY AND COMPOUNDING CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174695233
- **Authorized official:** RONNIE BAGWELL RPH (OWNER AND PRESIDENT)
- **Authorized official phone:** (601) 932-2027

## Contact information

- **Practice address:** 1042 RIVER OAKS DR, FLOWOOD, MS 39232-9594
- **Practice address phone:** (601) 932-2027
- **Practice address fax:** (601) 936-2166
- **Mailing address:** 1042 RIVER OAKS DR, FLOWOOD, MS 39232-9594
- **Mailing address phone:** (601) 932-2027
- **Mailing address fax:** (601) 936-2166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 01771/1.1 | MS | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 03/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330225 | — | MS |
| 01 | — | 2044831 | PK | — |