# NORTHRIDGE PHARMACY, INC.

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

## Provider details

- **NPI number:** 1447442223
- **Authorized official:** DR. JEMA D NUNLEY PHARM.D. (PHARMACIST/OWNER)
- **Authorized official phone:** (662) 365-2100

## Contact information

- **Practice address:** 1025 NORTHRIDGE RD, BALDWYN, MS 38824-1173
- **Practice address phone:** (662) 365-2100
- **Practice address fax:** (662) 365-3100
- **Mailing address:** 1025 NORTHRIDGE RD, BALDWYN, MS 38824-1173
- **Mailing address phone:** (662) 365-2100
- **Mailing address fax:** (662) 365-3100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07443/01.1 | MS | Yes |

## Other

- **Enumeration date:** 08/15/2007
- **Last updated:** 08/15/2007