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Organization
MAGNOLIA DRUGS INC
Active
Organization
MAGNOLIA DRUGS INC
Active
Other names
Magnolia Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN CROTTS PHARMD (PHARMACIST IN CHARGE/OWNER)
(662) 988-7030
Entity
Organization
Contact information
Practice address
1757 HIGHWAY 178 W STE B, MYRTLE, MS 38650-9233
(662) 988-7030
(662) 988-7014
Mailing address
1757 HIGHWAY 178 W STE B, MYRTLE, MS 38650-9233
(662) 988-7030
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07726090
—
MS
Enumeration date
01/27/2020
Last updated
04/30/2020
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