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Organization
CARSON NATURAL HEALTH CENTER INC
Active
Organization
CARSON NATURAL HEALTH CENTER INC
Active
Other names
CARSON NATURAL HEALTH CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
S PHILLIP CARSON RPH (OWNER AND PRESIDENT)
(662) 257-1012
Entity
Organization
Contact information
Practice address
122 MAIN ST N, AMORY, MS 38821-3415
(662) 257-1012
(662) 257-1014
Mailing address
PO BOX 111, AMORY, MS 38821-0111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
06935011
MS
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00488594
—
MS
05
—
02739746
—
MS
01
—
2586494
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/17/2006
Last updated
08/27/2009
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