Organization
PHARMACY MANAGEMENT GROUP
Active
Other names
TOTAL CARE PHARMACY OF STARKVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
RON HARRIS (CEO MANG MEMBER)
(662) 327-4025
Entity
Organization
Contact information
Practice address
200 HOSPITAL RD, BLDG 3 PROFESSIONAL PLAZA, STARKVILLE, MS 39759
(662) 323-0885
(662) 323-7298
Mailing address
101 12TH ST S, COLUMBUS, MS 39701-5830
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
07472
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330538
—
MS
01
—
2520131
OTHER ID NUMBER
—
Enumeration date
06/20/2006
Last updated
10/19/2007
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