# MEDICAL PLAZA ON ALCORN LLC

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

## Provider details

- **NPI number:** 1750972618
- **Authorized official:** RICK W QUINN RPH (OWNER)
- **Authorized official phone:** (662) 286-6991

## Contact information

- **Practice address:** 111 ALCORN DR, CORINTH, MS 38834-9359
- **Practice address phone:** (662) 286-6991
- **Mailing address:** 111 ALCORN DR, CORINTH, MS 38834-9359
- **Mailing address phone:** (662) 286-6991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 02/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0095265 | — | MS |