Organization
SLC HOLDINGS
Active
Other names
Robert's Apothecary
Organization subpart
No
Provider details
NPI number
Authorized official
JENE' LANDRUM (MANAGER)
(662) 327-5400
Entity
Organization
Contact information
Practice address
2219 5TH ST N, COLUMBUS, MS 39705-2211
(662) 327-5400
(662) 327-5225
Mailing address
2219 5TH ST N, COLUMBUS, MS 39705-2211
(662) 327-5400
(662) 327-5225
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01383/1.1
MS
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040353
—
MS
05
—
0030014
—
MS
01
—
2144373
PK
—
Enumeration date
10/26/2006
Last updated
12/22/2020
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