Organization
DOWELLS PHARMACY
Active
Other names
Martin's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GEORGE DOWELL PHARMD (MANAGER)
(662) 887-4533
Entity
Organization
Contact information
Practice address
124 E BAKER ST, INDIANOLA, MS 38751-2451
(662) 931-1900
Mailing address
124 E BAKER ST, INDIANOLA, MS 38751-2451
(662) 887-4533
(662) 887-4572
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00092878
—
MS
Enumeration date
04/19/2018
Last updated
03/22/2022
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