# WILLOUGHBY'S PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willoughby's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376315556
- **Authorized official:** KENNETH WAYNE WILLOUGHBY RPH (OWNER/PHARMACIST)
- **Authorized official phone:** (601) 260-4249

## Contact information

- **Practice address:** 2195 HIGHWAY 49 S, FLORENCE, MS 39073-9420
- **Practice address phone:** (601) 891-7007
- **Practice address fax:** (877) 909-9434
- **Mailing address:** 2195 HIGHWAY 49 S, FLORENCE, MS 39073-9420
- **Mailing address phone:** (601) 891-7007
- **Mailing address fax:** (877) 909-9434

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2023
- **Last updated:** 09/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200007872 | — | MS |