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Organization
PROFESSIONAL PHARMACY, INC.
Active
Organization
PROFESSIONAL PHARMACY, INC.
Active
Other names
Professional Pharmacy of Tylertown
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN SMITH R.PH (PRESIDENT)
(601) 876-2487
Entity
Organization
Contact information
Practice address
201 HOSPITAL DR, TYLERTOWN, MS 39667-2019
(601) 876-2487
(601) 876-0222
Mailing address
201 HOSPITAL DR, TYLERTOWN, MS 39667-2019
(601) 876-2487
(601) 876-0222
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
02151 01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030104
—
MS
Enumeration date
01/15/2007
Last updated
06/30/2010
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