Organization
OXFORD FAMILY PHARMACY
Active
Other names
Oxford Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BASKERVILLE (PHARMACIST)
(662) 234-6315
Entity
Organization
Contact information
Practice address
2209 S LAMAR BLVD, OXFORD, MS 38655-5225
(662) 234-6315
(662) 513-4078
Mailing address
2209 S LAMAR BLVD, OXFORD, MS 38655-5225
(662) 234-6315
(662) 513-4078
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00269
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2588777
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/05/2012
Last updated
04/25/2012
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