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Organization

BAZE PHARMACY LLC

Active
Parent organization
BAZE PHARMACY LLC
Other names
BAZE Pharmacy DSMT
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAZE PHARMACY LLC
Authorized official
ATHELIA BALAMS EZE (OWNER)
(662) 323-5033
Entity
Organization

Contact information

Practice address
900 STARK RD, STARKVILLE, MS 39759-3613
(662) 323-5033
(662) 323-5053
Mailing address
900 STARK RD, STARKVILLE, MS 39759-3613

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary

Other

Enumeration date
05/01/2018
Last updated
05/01/2018
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