# GREENWOOD DRUGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenwood Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245643998
- **Authorized official:** LISA SMITH (PHARMACIST/MANAGER)
- **Authorized official phone:** (662) 299-9415

## Contact information

- **Practice address:** 400 W PARK AVE, GREENWOOD, MS 38930-2904
- **Practice address phone:** (662) 477-0700
- **Practice address fax:** (662) 477-0701
- **Mailing address:** 400 W PARK AVE, GREENWOOD, MS 38930-2904
- **Mailing address phone:** (662) 477-0700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 13418/1.1 | MS | Yes |

## Other

- **Enumeration date:** 06/10/2014
- **Last updated:** 06/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07722732 | — | MS |
| 01 | — | 2146465 | PK | — |