Organization
VANJON'S PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON EDWARDS (MEMBER)
(601) 941-3598
Entity
Organization
Contact information
Practice address
320 E FIFTEENTH ST, YAZOO CITY, MS 39194-2600
(662) 746-3562
(662) 746-3561
Mailing address
320 E FIFTEENTH ST, YAZOO CITY, MS 39194-2600
(662) 746-3562
(662) 746-3568
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
10/14/2020
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