# DVC PHARMACY LLC

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

## Provider details

- **NPI number:** 1922544865
- **Authorized official:** LISA STODDARD (OFFICE MANAGER)
- **Authorized official phone:** (662) 513-6600

## Contact information

- **Practice address:** 1107 EARL FRYE BLVD, SUITE \#1, AMORY, MS 38821-5519
- **Practice address phone:** (662) 257-2357
- **Practice address fax:** (662) 257-2399
- **Mailing address:** PO BOX 511, AMORY, MS 38821-0511
- **Mailing address phone:** (662) 257-2357
- **Mailing address fax:** (662) 257-2399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 15100 | MS | Yes |

## Other

- **Enumeration date:** 01/17/2017
- **Last updated:** 02/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2167168 | PK | — |