# MAGNOLIA DRUG CO., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366013179
- **Authorized official:** DR. CRYSTIE SHEREE MOORMAN PHARMD (PHARMACIST/OWNER)
- **Authorized official phone:** (662) 487-6268

## Contact information

- **Practice address:** 131 HIGHWAY 51 N, BATESVILLE, MS 38606-2358
- **Practice address phone:** (662) 487-6268
- **Practice address fax:** (662) 487-6278
- **Mailing address:** 131 HIGHWAY 51 N, BATESVILLE, MS 38606-2358
- **Mailing address phone:** (662) 487-6268
- **Mailing address fax:** (662) 487-6278

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2021
- **Last updated:** 06/01/2022