Organization
MARKETPLACE PHARMACY GROUP LLC
Active
Other names
Marketplace Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY LINDSEY VIVIEN PHARMD (PHARMACIST-IN-CHARGE)
(601) 436-7969
Entity
Organization
Contact information
Practice address
157 SHELBY SPEIGHTS DR, PURVIS, MS 39475-4094
(601) 794-8634
Mailing address
PO BOX 1005, PURVIS, MS 39475-1005
(601) 794-8634
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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