Organization
THOMAS STREET COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MARC GUNNELLS R.PH. (OWNER)
(662) 844-0400
Entity
Organization
Contact information
Practice address
86 S THOMAS ST, TUPELO, MS 38801-4355
(662) 844-0444
Mailing address
86 S THOMAS ST, TUPELO, MS 38801-4355
(662) 844-0444
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17627
PHARMACY
MS
Enumeration date
02/17/2020
Last updated
03/07/2023
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