# DOWELLS PHARMACY

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

## Provider details

- **NPI number:** 1407343023
- **Authorized official:** MATTHEW GEORGE DOWELL PHARMD (MANAGER)
- **Authorized official phone:** (662) 887-4533

## Contact information

- **Practice address:** 124 E BAKER ST, INDIANOLA, MS 38751-2451
- **Practice address phone:** (662) 931-1900
- **Mailing address:** 124 E BAKER ST, INDIANOLA, MS 38751-2451
- **Mailing address phone:** (662) 887-4533
- **Mailing address fax:** (662) 887-4572

## Taxonomy

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

## Other

- **Enumeration date:** 04/19/2018
- **Last updated:** 03/22/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00092878 | — | MS |