Organization
PHARMAKAN, INC
Active
Other names
professional pharmacy services of jackson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE BAGWELL JR. R.PH (PRESIDENT)
(601) 932-6245
Entity
Organization
Contact information
Practice address
1042A RIVER OAKS DR, FLOWOOD, MS 39232-9594
(601) 932-6245
(601) 939-8286
Mailing address
1042A RIVER OAKS DR, FLOWOOD, MS 39232-9594
(601) 932-6245
(601) 939-8286
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
0218002.0
MS
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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