Organization
SENATOBIA CITY DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNN BARHAM PHARMACIST (PHARMACIST)
(662) 562-8042
Entity
Organization
Contact information
Practice address
122 NORFLEET DR, SENATOBIA, MS 38668-2220
(662) 562-8042
(662) 562-0644
Mailing address
122 NORFLEET DR, SENATOBIA, MS 38668-2220
(662) 562-8042
(662) 562-0644
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440236
—
MS
Enumeration date
03/15/2007
Last updated
08/22/2020
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