# BOONEVILLE COMMUNITY PHARMACY OF MS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972150472
- **Authorized official:** TONY SMITH (OWNER)
- **Authorized official phone:** (901) 831-8669

## Contact information

- **Practice address:** 206 N 2ND ST, BOONEVILLE, MS 38829-2702
- **Practice address phone:** (662) 728-1951
- **Mailing address:** 206 N 2ND ST, BOONEVILLE, MS 38829-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/20/2019
- **Last updated:** 05/23/2023