Organization
MEDISEND SPECIALTY PHARMACY INC
Active
Other names
MEDISEND SPECIALTY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD KING (OWNER)
(662) 293-0220
Entity
Organization
Contact information
Practice address
127 PRATT DR, CORINTH, MS 38834-6026
(662) 287-6405
(662) 286-5898
Mailing address
127 PRATT DR, CORINTH, MS 38834-6026
(662) 287-6405
(662) 286-5898
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
12105
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138531
PK
—
Enumeration date
02/15/2013
Last updated
04/10/2013
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