Organization
PEYTEN, LTD.
Active
Other names
Guy's Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA C TENNIN PHARM D (OWNER/PHARMACIST)
(601) 859-1303
Entity
Organization
Contact information
Practice address
265 W PEACE ST, CANTON, MS 39046-4325
(601) 859-1303
(601) 850-3603
Mailing address
265 W PEACE ST, CANTON, MS 39046-4325
(601) 859-1303
(601) 850-3603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E7245
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030123
—
MS
05
—
00040329
—
MS
Enumeration date
09/23/2005
Last updated
08/22/2020
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