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Organization
SOUTHWEST PHARMACY, INC.
Active
Organization
SOUTHWEST PHARMACY, INC.
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE KEITH GUY R.PH., FACA, FIACP (OWNER/PRESIENT)
(601) 684-9602
Entity
Organization
Contact information
Practice address
312 MARION AVE, MCCOMB, MS 39648-2708
(601) 684-9602
(601) 684-2559
Mailing address
312 MARION AVE, MCCOMB, MS 39648-2708
(601) 684-9602
(601) 684-2559
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440090
—
MS
Enumeration date
07/24/2006
Last updated
09/21/2021
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