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Organization
MEDICAL CENTER PHARMACY
Active
Organization
MEDICAL CENTER PHARMACY
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STAN DILLON RPH (OWNER, PIC)
(662) 534-2101
Entity
Organization
Contact information
Practice address
218 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2101
(622) 534-4600
Mailing address
218 OXFORD RD, NEW ALBANY, MS 38652-3115
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
01344/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093530
—
MS
01
—
2044428
PK
—
Enumeration date
02/28/2007
Last updated
12/20/2016
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