Organization
FORMULAONE PHARMACEUTICALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA LITTLE (SECRETARY)
(662) 594-1594
Entity
Organization
Contact information
Practice address
127 PRATT DR, CORINTH, MS 38834-6026
(662) 594-1594
(662) 594-1864
Mailing address
127 PRATT DR, CORINTH, MS 38834-6026
(662) 594-1594
(662) 594-1864
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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