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Organization
ENTERPRISE PHARMACY LLC
Active
Organization
ENTERPRISE PHARMACY LLC
Active
Other names
Enterprise Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JOHNSON (OWNER)
(601) 938-5323
Entity
Organization
Contact information
Practice address
83 OLD MILL CREEK RD, ENTERPRISE, MS 39330-9649
(601) 659-9909
(601) 659-9902
Mailing address
83 OLD MILL CREEK RD, ENTERPRISE, MS 39330-9649
(601) 659-9909
(601) 659-9902
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0843211
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00258810
—
MS
01
—
2127578
PK
—
Enumeration date
04/05/2010
Last updated
07/05/2016
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