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Organization

FRIENDSHIP, LLC

Active
Parent organization
FRIENDSHIP LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FRIENDSHIP LLC
Authorized official
MR. ANDREW NOWLIN (ADMINISTRATOR)
(662) 489-5677
Entity
Organization

Contact information

Practice address
5532 HWY 15, SUITE 1, ECRU, MS 38841
(662) 488-0317
Mailing address
5532 HWY 15, SUITE 1, ECRU, MS 38841
(662) 488-0317

Taxonomy

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

Other

Enumeration date
11/26/2012
Last updated
03/01/2013
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