Organization
OLE TOWN FAMILY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ANDREW MOFFETT (OWNER)
(601) 527-4579
Entity
Organization
Contact information
Practice address
810 LINDLEY ROAD, MARION, MS 39342
(601) 527-4579
Mailing address
4733 11TH PL, MERIDIAN, MS 39305-2769
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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