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Organization
MAC PHARMACEUTICALS LLC
Active
Organization
MAC PHARMACEUTICALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOVIE N. BRIDGEWATER MD (ANESTHESIOLOGIST)
(662) 349-2659
Entity
Organization
Contact information
Practice address
391 SOUTHCREST CIR STE 108, SOUTHAVEN, MS 38671-4775
(662) 349-2659
(662) 349-2653
Mailing address
391 SOUTHCREST CIR STE 108, SOUTHAVEN, MS 38671-4775
(662) 349-2659
(662) 349-2653
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
11/09/2018
Last updated
02/03/2020
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