# SOUTHWEST PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Guy's Pharmacy of Crystal Springs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801339387
- **Authorized official:** JOE GUY (OWNER AND PRESIDENT)
- **Authorized official phone:** (601) 647-0030

## Contact information

- **Practice address:** 512 W MARION AVE, CRYSTAL SPRINGS, MS 39059-2747
- **Practice address phone:** (601) 647-0030
- **Practice address fax:** (601) 647-0033
- **Mailing address:** 512 W MARION AVE, CRYSTAL SPRINGS, MS 39059-2747
- **Mailing address phone:** (601) 647-0030
- **Mailing address fax:** (601) 647-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 15055/1.1 | MS | Yes |

## Other

- **Enumeration date:** 12/01/2016
- **Last updated:** 08/25/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04456875 | — | MS |
| 01 | — | 2166424 | PK | — |
