Organization
MEDICAL CENTER PHCY, LLC
Active
Other names
Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GUY MALONE PHILLIPS (MEMBER/OWNER)
(662) 207-0616
Entity
Organization
Contact information
Practice address
218 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2101
Mailing address
903 HIGHWAY 82 E BLDG G, INDIANOLA, MS 38751-2325
(662) 887-4135
(662) 887-9703
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093530
—
MS
Enumeration date
10/22/2021
Last updated
01/30/2025
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