Organization
WARREN PHARMACY ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L WARREN PHARM.D. (CO-OWNER; CFO; PHARMACIST)
(662) 539-7777
Entity
Organization
Contact information
Practice address
140 FAIRFIELD DR, NEW ALBANY, MS 38652
(662) 539-7777
(662) 539-7028
Mailing address
140 FAIRFIELD DR, NEW ALBANY, MS 38652
(662) 539-7777
(662) 539-7028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02802551
—
MS
Enumeration date
11/07/2017
Last updated
03/07/2023
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