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Organization
PHARMACY INNOVATIONS LLC
Active
Organization
PHARMACY INNOVATIONS LLC
Active
Other names
Tupelo Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
AMY COCHRAN (PHARMACIST IN CHARGE)
(855) 612-1385
Entity
Organization
Contact information
Practice address
715 GARFIELD ST, TUPELO, MS 38801-6339
(855) 612-1385
(855) 612-1386
Mailing address
715 GARFIELD ST, TUPELO, MS 38801-6339
(855) 612-1385
(855) 612-1386
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
14763
MS
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01381865
—
MS
01
—
2159492
PK
—
Enumeration date
03/16/2016
Last updated
01/31/2020
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