# TUNICA PHARMACY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TUNICA PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316037237
- **Authorized official:** WILLIAM ERIC POFF R.PH. (OWNER PRESIDENT)
- **Authorized official phone:** (901) 826-6493

## Contact information

- **Practice address:** 1337 HIGHWAY 61 N, TUNICA, MS 38676-9661
- **Practice address phone:** (662) 363-1431
- **Practice address fax:** (662) 363-9966
- **Mailing address:** PO BOX 1724, TUNICA, MS 38676-1724
- **Mailing address phone:** (662) 363-1431
- **Mailing address fax:** (663) 363-9966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 00653 | MS | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 10/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000034711 | — | MS |
| 05 | — | 00034711 | — | MS |
| 01 | — | 2043432 | PK | — |