# CARSON NATURAL HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CARSON NATURAL HEALTH CENTER INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841235603
- **Authorized official:** S PHILLIP CARSON RPH (OWNER AND PRESIDENT)
- **Authorized official phone:** (662) 257-1012

## Contact information

- **Practice address:** 122 MAIN ST N, AMORY, MS 38821-3415
- **Practice address phone:** (662) 257-1012
- **Practice address fax:** (662) 257-1014
- **Mailing address:** PO BOX 111, AMORY, MS 38821-0111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 06935011 | MS | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336M0002X | Mail Order Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 08/27/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00488594 | — | MS |
| 05 | — | 02739746 | — | MS |
| 01 | — | 2586494 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |