Organization
QUINN'S FAMILY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESA QUINN PHARM D (PRESIDENT/PHARMACIST IN CHARGE)
(601) 616-4212
Entity
Organization
Contact information
Practice address
24944 HWY 15, UNION, MS 39365-1565
(769) 222-1054
(769) 222-1078
Mailing address
24944 HWY 15, UNION, MS 39365-1565
(769) 222-1054
(769) 222-1078
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
15398
MS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04877366
—
MS
Enumeration date
04/10/2017
Last updated
07/22/2020
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