# MARKETPLACE PHARMACY GROUP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Marketplace Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265148209
- **Authorized official:** DR. AMY LINDSEY VIVIEN PHARMD (PHARMACIST-IN-CHARGE)
- **Authorized official phone:** (601) 436-7969

## Contact information

- **Practice address:** 157 SHELBY SPEIGHTS DR, PURVIS, MS 39475-4094
- **Practice address phone:** (601) 794-8634
- **Mailing address:** PO BOX 1005, PURVIS, MS 39475-1005
- **Mailing address phone:** (601) 794-8634

## Taxonomy

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

## Other

- **Enumeration date:** 01/24/2023
- **Last updated:** 01/24/2023