Organization
SOUTHWEST PHARMACY INC
Active
Parent organization
SOUTHWEST PHARMACY INC.
Other names
Guy's Pharmacy of Brookhaven
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST PHARMACY INC.
Authorized official
MR. JOE KEITH GUY RPH (PRESIDENT)
(601) 684-4127
Entity
Organization
Contact information
Practice address
1005 W CONGRESS ST, BROOKHAVEN, MS 39601-2603
(601) 684-4127
(601) 684-8479
Mailing address
312 MARION AVE, MCCOMB, MS 39648-2708
(601) 684-4127
(601) 684-8479
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11696/1.1
MS
3336C0004X
Compounding Pharmacy
11696/1.1
MS
Other
Enumeration date
10/24/2012
Last updated
08/25/2021
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