Organization
HULL'S FAMILY PHARMACY
Active
Other names
HICKORY FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE HULL (OWNER/MGR/PRESIDENT)
(601) 934-2488
Entity
Organization
Contact information
Practice address
18205 HWY 80, HICKORY, MS 39332
(601) 646-0015
(601) 646-0016
Mailing address
PO BOX 217, HICKORY, MS 39332-0217
(601) 646-0015
(601) 646-0016
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13373
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04679341
—
MS
01
—
2145647
PK
—
Enumeration date
05/20/2014
Last updated
05/02/2018
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