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Organization
THOMAS PHARMACY GARDINER CENTER LLC
Active
Organization
THOMAS PHARMACY GARDINER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY EUGENE THOMAS RPH (OWNER PHARMACIST)
(601) 428-5977
Entity
Organization
Contact information
Practice address
170 LEONTYNE PRICE BLVD, LAUREL, MS 39440-4428
(601) 428-5977
(601) 428-7150
Mailing address
PO BOX 4111, LAUREL, MS 39441-4111
(601) 428-5977
(601) 428-7150
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5123500001
MS
333600000X
Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330692
—
MS
05
—
01454526
—
MS
Enumeration date
04/04/2006
Last updated
03/26/2020
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