Organization
MEDICAL ARTS PHARMACY OF COLUMBUS, INC.
Active
Other names
Medical Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD EDWARD WALDEN (CEO)
(662) 328-8660
Entity
Organization
Contact information
Practice address
504 MILITARY RD, COLUMBUS, MS 39701-4681
(662) 328-8660
(662) 328-1213
Mailing address
504 MILITARY RD, COLUMBUS, MS 39701-4681
(662) 328-8660
(662) 328-1213
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00440865
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330641
—
MS
05
—
00440865
—
MS
Enumeration date
08/17/2006
Last updated
09/29/2009
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