# WELCH FAMILY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Welch Family Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922371764
- **Authorized official:** ROBERT WELCH (OWNER)
- **Authorized official phone:** (662) 213-5234

## Contact information

- **Practice address:** 848 S MADISON ST, TUPELO, MS 38801-4905
- **Practice address phone:** (662) 213-5234
- **Mailing address:** 848 S MADISON ST, TUPELO, MS 38801-4905
- **Mailing address phone:** (662) 213-5234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 10617/1.1 | MS | Yes |

## Other

- **Enumeration date:** 02/09/2012
- **Last updated:** 10/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2588676 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |