# CALEB'S HOMETOWN PHARMACY

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

## Provider details

- **NPI number:** 1679985378
- **Authorized official:** STEPHEN CALEB WILLIAMSON PHARM.D. (OWNER/PHARMACIST)
- **Authorized official phone:** (601) 765-5055

## Contact information

- **Practice address:** 801 MAIN STREET, COLLINS, MS 39428
- **Practice address phone:** (601) 765-5055
- **Practice address fax:** (601) 765-8544
- **Mailing address:** PO BOX 2396, COLLINS, MS 39428-2396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 13446 | MS | Yes |

## Other

- **Enumeration date:** 05/29/2014
- **Last updated:** 10/01/2024