Organization
NORTHTOWN PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW CLARK PHARMD (PHARMACIST AND OWNER)
(601) 665-4694
Entity
Organization
Contact information
Practice address
6220 OLD CANTON RD, JACKSON, MS 39211-2924
(601) 665-4694
(769) 333-9173
Mailing address
6220 OLD CANTON RD, JACKSON, MS 39211-2924
(601) 665-4694
(769) 333-9173
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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