Organization
SYNERGY PHARMACY LLC
Active
Other names
Synergy Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN SMITH (MANAGER/MEMBER)
(662) 268-8226
Entity
Organization
Contact information
Practice address
101E G T THAMES DR, STARKVILLE, MS 39759-9042
(662) 268-8226
(662) 268-8288
Mailing address
101E G T THAMES DR, STARKVILLE, MS 39759-9042
(662) 268-8226
(662) 268-8288
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
F12102
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138942
PK
—
Enumeration date
02/12/2013
Last updated
12/28/2015
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