# RIVERBEND PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609314145
- **Authorized official:** JAMES COX (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (662) 315-6169

## Contact information

- **Practice address:** 4 RIVER BEND PL STE 115, FLOWOOD, MS 39232-9710
- **Practice address phone:** (662) 315-6169
- **Practice address fax:** (662) 315-6169
- **Mailing address:** 4 RIVER BEND PL STE 115, FLOWOOD, MS 39232-9710
- **Mailing address phone:** (662) 315-6169
- **Mailing address fax:** (662) 315-6169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 15117/1.1 | MS | Yes |

## Other

- **Enumeration date:** 02/04/2017
- **Last updated:** 03/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2168058 | PK | — |