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Organization
FTFRX LLC
Active
Organization
FTFRX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY HOPKINS (MANAGER)
(601) 437-5121
Entity
Organization
Contact information
Practice address
1005 MARKET ST, PORT GIBSON, MS 39150-2337
(601) 437-5121
(601) 437-5102
Mailing address
1005 MARKET ST, PORT GIBSON, MS 39150-2337
(601) 437-5121
(601) 437-5102
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00680/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330665
—
MS
Enumeration date
08/22/2016
Last updated
08/22/2016
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