Organization
THOMAS PHARMACY GARDINER CENTER, LLC
Active
Parent organization
THOMAS PHARMACY GARDINER CENTER, LLC
Other names
Thomas Pharmacy Medical Supply
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOMAS PHARMACY GARDINER CENTER, LLC
Authorized official
LARRY EUGENE THOMAS RPH (OWNER)
(601) 428-5977
Entity
Organization
Contact information
Practice address
733 LIMBERT ST, LAUREL, MS 39440-5246
(601) 342-2273
(601) 651-6125
Mailing address
PO BOX 4111, 170 BEACON STREET, LAUREL, MS 39441-4111
(601) 428-5977
(601) 518-5306
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11692/11.1
MS
Other
Enumeration date
10/29/2012
Last updated
12/01/2016
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