# IUKA PHARMACY SERVICES LLC

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

## Provider details

- **NPI number:** 1871148239
- **Authorized official:** TIMOTHY LEE GRIFFIN PHARMD (OWNER)
- **Authorized official phone:** (662) 423-9039

## Contact information

- **Practice address:** 1411 W QUITMAN ST, IUKA, MS 38852-1100
- **Practice address phone:** (662) 423-9039
- **Practice address fax:** (662) 423-9318
- **Mailing address:** 1411 W QUITMAN ST, IUKA, MS 38852-1130
- **Mailing address phone:** (662) 423-9039
- **Mailing address fax:** (662) 423-9318

## Taxonomy

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

## Other

- **Enumeration date:** 08/02/2019
- **Last updated:** 04/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00092754 | — | MS |