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Organization
MANTACHIE PHARMACY LLC
Active
Organization
MANTACHIE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATLYN SPRADLING (OWNER)
(662) 282-7000
Entity
Organization
Contact information
Practice address
3309 HIGHWAY 371 N, MANTACHIE, MS 38855-7267
(662) 282-7000
(662) 282-7007
Mailing address
PO BOX 96, MANTACHIE, MS 38855-0096
(662) 282-7000
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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