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Organization
MEDICAL PLAZA ON ALCORN LLC
Active
Organization
MEDICAL PLAZA ON ALCORN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK W QUINN (RPH)
(662) 286-6991
Entity
Organization
Contact information
Practice address
111 ALCORN DR, CORINTH, MS 38834-9359
(662) 286-6991
(662) 287-8087
Mailing address
111 ALCORN DR, CORINTH, MS 38834-9359
(662) 286-6991
(662) 287-8087
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0313501.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00095265
—
MS
05
—
00440678
—
MS
Enumeration date
09/20/2006
Last updated
09/01/2015
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