Organization
GREENWOOD DRUGS LLC
Active
Other names
Greenwood Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SMITH (PHARMACIST/MANAGER)
(662) 299-9415
Entity
Organization
Contact information
Practice address
400 W PARK AVE, GREENWOOD, MS 38930-2904
(662) 477-0700
(662) 477-0701
Mailing address
400 W PARK AVE, GREENWOOD, MS 38930-2904
(662) 477-0700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13418/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07722732
—
MS
01
—
2146465
PK
—
Enumeration date
06/10/2014
Last updated
06/02/2016
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