# INDEPENDENT HEALTHCARE MANAGEMENT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forest Family Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659076107
- **Authorized official:** DR. JOHN P LEE MD (COB)
- **Authorized official phone:** (601) 469-4151

## Contact information

- **Practice address:** 505 AIRPORT ROAD, FOREST, MS 39074
- **Practice address phone:** (601) 469-4151
- **Mailing address:** PO BOX D, FOREST, MS 39074-0558
- **Mailing address phone:** (601) 469-4151
- **Mailing address fax:** (601) 469-9927

## Taxonomy

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

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 04/19/2023