Organization
MAGIC MART PHARMACY, INC
Active
Other names
Magic Mart Pharmacy, DS
Organization subpart
No
Provider details
NPI number
Authorized official
GUY M PHILLIPS (PRESIDENT)
(662) 887-4135
Entity
Organization
Contact information
Practice address
903 HIGHWAY 82 E BLDG G, INDIANOLA, MS 38751-2325
(662) 887-4135
(662) 887-4135
Mailing address
903 HIGHWAY 82 E BLDG G, INDIANOLA, MS 38751-2325
(662) 887-4135
(662) 887-4135
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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