# KCRX BROOKHAVEN LLC

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

## Provider details

- **NPI number:** 1619782323
- **Authorized official:** DR. ABBY GARCIA PHARM D (OWNER/PIC)
- **Authorized official phone:** (601) 757-8466

## Contact information

- **Practice address:** 543 BROOKWAY BLVD, BROOKHAVEN, MS 39601
- **Practice address phone:** (601) 757-9337
- **Mailing address:** 543 BROOKWAY BLVD, BROOKHAVEN, MS 39601
- **Mailing address phone:** (601) 757-9337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/10/2025
- **Last updated:** 02/10/2025