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Organization
TUNICA PHARMACY, INC.
Active
Organization
TUNICA PHARMACY, INC.
Active
Other names
TUNICA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ERIC POFF R.PH. (OWNER PRESIDENT)
(901) 826-6493
Entity
Organization
Contact information
Practice address
1337 HIGHWAY 61 N, TUNICA, MS 38676-9661
(662) 363-1431
(662) 363-9966
Mailing address
PO BOX 1724, TUNICA, MS 38676-1724
(662) 363-1431
(663) 363-9966
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
00653
MS
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000034711
—
MS
05
—
00034711
—
MS
01
—
2043432
PK
—
Enumeration date
10/13/2006
Last updated
10/16/2023
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