Organization
GLUCKSTADT PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R BERRY PHD (OWNER)
(601) 859-3939
Entity
Organization
Contact information
Practice address
154 CALHOUN STATION, SUITE I, GLUCKSTADT, MS 39110
(601) 859-3939
(601) 855-2133
Mailing address
195 E PEACE ST, CANTON, MS 39046-4519
(601) 859-3939
(601) 855-2133
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
10/19/2023
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