# MEDICAL ARTS PHARMACY OF COLUMBUS INC

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

## Provider details

- **NPI number:** 1598806143
- **Authorized official:** MR. DONALD EDWARD WALDEN RPH (PRESIDENT)
- **Authorized official phone:** (662) 328-8660

## Contact information

- **Practice address:** 504 MILITARY RD, COLUMBUS, MS 39701-4681
- **Practice address phone:** (662) 328-8660
- **Practice address fax:** (662) 328-1213
- **Mailing address:** 504 MILITARY RD, COLUMBUS, MS 39701-4681
- **Mailing address phone:** (662) 328-8660
- **Mailing address fax:** (662) 328-1213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 01790 | MS | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330641 | — | MS |
| 05 | — | 00440865 | — | MS |