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Organization
MAGNOLIA DRUG CO., LLC
Active
Organization
MAGNOLIA DRUG CO., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTIE SHEREE MOORMAN PHARMD (PHARMACIST/OWNER)
(662) 487-6268
Entity
Organization
Contact information
Practice address
131 HIGHWAY 51 N, BATESVILLE, MS 38606-2358
(662) 487-6268
(662) 487-6278
Mailing address
131 HIGHWAY 51 N, BATESVILLE, MS 38606-2358
(662) 487-6268
(662) 487-6278
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
07/02/2021
Last updated
06/01/2022
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