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Organization
VILLAGE PHARMACY, L.L.C.
Active
Organization
VILLAGE PHARMACY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BRINSON RPH (PHARMACIST/OWNER)
(601) 296-0807
Entity
Organization
Contact information
Practice address
560 WEATHERSBY RD, SUITE 170, HATTIESBURG, MS 39402-1164
(601) 296-0807
(601) 450-0424
Mailing address
560 WEATHERSBY RD, SUITE 170, HATTIESBURG, MS 39402-1164
(601) 296-0807
(601) 450-0424
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
04114-01VH
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330382
—
MS
01
—
04114-01VH
STATE PERMIT ID
MS
01
—
NABP
2519239
MS
Enumeration date
07/16/2006
Last updated
08/22/2020
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