# OLE TOWN FAMILY PHARMACY LLC

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

## Provider details

- **NPI number:** 1245075688
- **Authorized official:** RICHARD ANDREW MOFFETT (OWNER)
- **Authorized official phone:** (601) 527-4579

## Contact information

- **Practice address:** 810 LINDLEY ROAD, MARION, MS 39342
- **Practice address phone:** (601) 527-4579
- **Mailing address:** 4733 11TH PL, MERIDIAN, MS 39305-2769

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2024
- **Last updated:** 06/27/2024