# GREENWOOD LEFLORE PHARMACY

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

## Provider details

- **NPI number:** 1457732653
- **Authorized official:** DAVID EUGENE CLARK RPH (PHARMACIST IN CHARGE)
- **Authorized official phone:** (662) 455-6809

## Contact information

- **Practice address:** 1401 RIVER RD, GREENWOOD, MS 38930-4030
- **Practice address phone:** (662) 455-6809
- **Practice address fax:** (662) 459-2761
- **Mailing address:** 1401 RIVER RD, GREENWOOD, MS 38930-4030
- **Mailing address phone:** (662) 455-6809
- **Mailing address fax:** (662) 459-2761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 14368/1.1 | MS | Yes |

## Other

- **Enumeration date:** 06/12/2015
- **Last updated:** 06/12/2015