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Organization
PRX LLC
Active
Organization
PRX LLC
Active
Parent organization
PHARMACYRXTOX, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHARMACYRXTOX, LLC
Authorized official
DR. JORY EMILE SCOTT M.D., PHD (OWNER)
(601) 909-6274
Entity
Organization
Contact information
Practice address
814 W PINE ST, HATTIESBURG, MS 39401-4259
(601) 909-6274
(601) 909-6287
Mailing address
814 W PINE ST, HATTIESBURG, MS 39401-4259
(601) 909-6274
(601) 909-6287
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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