Organization
SUNFLOWER DISCOUNT PHARMACY LLC
Active
Other names
Sunflower Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SPELL (PHARCIST IN CHARGE)
(662) 756-4381
Entity
Organization
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-4381
(662) 756-2045
Mailing address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-4381
(662) 756-2045
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1179511
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152695
PK
—
Enumeration date
10/05/2006
Last updated
01/19/2016
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