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Organization
KIPA INC. DBA RODGERS FAMILY PHARMACY
Active
Organization
KIPA INC. DBA RODGERS FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUKE KIMBRELL RODGERS RPH (OWNER)
(601) 582-8351
Entity
Organization
Contact information
Practice address
130 W CENTRAL AVE, PETAL, MS 39465-2314
(601) 582-8351
(601) 545-7342
Mailing address
130 W CENTRAL AVE, PETAL, MS 39465-2314
(601) 582-8351
(601) 545-7342
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0219301.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030167
—
MS
01
—
2516562
NCPDP
—
Enumeration date
03/01/2007
Last updated
08/22/2020
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