# ASHLAND PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194108902
- **Authorized official:** MR. LARRY MELTON (PHARMACIST/OWNER)
- **Authorized official phone:** (901) 258-7922

## Contact information

- **Practice address:** 16068 BOUNDARY DR, ASHLAND, MS 38603-7737
- **Practice address phone:** (901) 258-7922
- **Mailing address:** PO BOX 412, ASHLAND, MS 38603-0412
- **Mailing address phone:** (901) 258-7922

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 06/30/2015