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Organization

T AND B ENTERPRISES

Active
Other names
MEDICAL ARTS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HARRY M OLD RPH (PRESIDENT/ MANAGING PHARMACIST)
(662) 365-5036
Entity
Organization

Contact information

Practice address
735 S FOURTH ST, BALDWYN, MS 38824-2612
(662) 365-5036
(662) 365-8083
Mailing address
735 S FOURTH ST, BALDWYN, MS 38824-2612
(662) 365-5036
(662) 365-8083

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00889
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00039993
MS
Enumeration date
10/03/2006
Last updated
02/20/2008
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