# STOCKMAN'S SUPPLY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stockman's Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205232881
- **Authorized official:** DR. JOHN ADAM LOCHRIDGE PHARM.D (PHARMACY MANAGER)
- **Authorized official phone:** (662) 320-6836

## Contact information

- **Practice address:** 13545 MS HIGHWAY 12 W, STARKVILLE, MS 39759-6062
- **Practice address phone:** (662) 320-6836
- **Practice address fax:** (662) 320-6974
- **Mailing address:** PO BOX 921, STARKVILLE, MS 39760-0921
- **Mailing address phone:** (662) 320-6836
- **Mailing address fax:** (662) 320-6974

## Taxonomy

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

## Other

- **Enumeration date:** 11/10/2014
- **Last updated:** 11/10/2014