# KLEPZIG SMITH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICINE SHOPPE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629114285
- **Authorized official:** MIKE KLEPZIG RPH (OWNER PHARMACIST)
- **Authorized official phone:** (662) 893-7400

## Contact information

- **Practice address:** 9065 SANDIDGE CENTER COVE, SUITE A, OLIVE BRANCH, MS 38654
- **Practice address phone:** (662) 893-7400
- **Practice address fax:** (662) 893-7402
- **Mailing address:** 9065 SANDIDGE CENTER COVE, SUITE A, OLIVE BRANCH, MS 38654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 0413301 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330384 | — | MS |
| 01 | — | 2519277 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |