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Organization
MARKETPLACE PHARMACY GROUP LLC
Active
Organization
MARKETPLACE PHARMACY GROUP LLC
Active
Other names
Marketplace Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY LINDSEY VIVIEN PHARMD (PHARMACIST-IN-CHARGE)
(601) 436-7969
Entity
Organization
Contact information
Practice address
157 SHELBY SPEIGHTS DR, PURVIS, MS 39475-4094
(601) 794-8634
Mailing address
PO BOX 1005, PURVIS, MS 39475-1005
(601) 794-8634
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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