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Organization
GPRX LLC
Active
Organization
GPRX LLC
Active
Other names
GPRX
Organization subpart
No
Provider details
NPI number
Authorized official
BRINSON PORK RPH (OWNER)
(601) 849-2533
Entity
Organization
Contact information
Practice address
408 SIMPSON HIGHWAY 149, MAGEE, MS 39111-3416
(601) 849-2627
(601) 849-2558
Mailing address
408 SIMPSON HIGHWAY 149, MAGEE, MS 39111-3416
(601) 849-2627
(601) 849-2558
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
05213/2.6
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330677
—
MS
01
—
2046363
PK
—
Enumeration date
08/18/2006
Last updated
02/27/2014
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