# COLDWATER PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coldwater Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548337025
- **Authorized official:** STEVEN PERKINS RPH (OWNER, PIC)
- **Authorized official phone:** (662) 622-7441

## Contact information

- **Practice address:** 421 CENTRAL AVE, COLDWATER, MS 38618-3915
- **Practice address phone:** (662) 622-7441
- **Practice address fax:** (662) 622-7004
- **Mailing address:** PO BOX 309, COLDWATER, MS 38618-0309
- **Mailing address phone:** (662) 622-7441
- **Mailing address fax:** (662) 622-7004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 00625/01.1 | MS | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 01/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00094226 | — | MS |
| 05 | — | 00440543 | — | MS |
| 01 | — | 2127928 | PK | — |