Organization
LTC PHARMACY SOLUTIONS LLC
Active
Other names
LTC PHARMACY SOLUTIONS
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA HYRE (DIRECTOR OF PHARMACY)
(662) 840-6411
Entity
Organization
Contact information
Practice address
2801 W MAIN ST, TUPELO, MS 38801-3001
(662) 840-6411
(877) 840-0456
Mailing address
PO BOX 3308, TUPELO, MS 38803-3308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
0728023
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05101749
—
MS
01
—
2047300
PK
—
05
—
5101749
—
MS
Enumeration date
08/10/2006
Last updated
02/21/2017
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