Organization
FIRST PHARMACY COMPOUNDING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE M PRATT DPH (VICE PRESIDENT)
(662) 893-6300
Entity
Organization
Contact information
Practice address
5185 GETWELL RD, SOUTHAVEN, MS 38671-9691
(662) 893-6300
(662) 893-6323
Mailing address
PO BOX 47, POPE, MS 38658-0047
(662) 893-6300
(662) 893-6323
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
MS
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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