Organization
APOTHECARE LLC
Active
Other names
ApotheCare,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MILSTEAD (DIRECTOR OF PHARMACY)
(601) 384-3105
Entity
Organization
Contact information
Practice address
82 MAIN ST W, MEADVILLE, MS 39653-9320
(601) 384-3105
(601) 384-3108
Mailing address
PO BOX 919, MEADVILLE, MS 39653-0910
(601) 384-3105
(601) 384-3108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
08046/02.3
MS
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY.007269-NR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06070017
—
MS
01
—
2119623
PK
—
05
—
2204408
—
LA
Enumeration date
02/24/2009
Last updated
03/01/2017
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