Organization
NORTHRIDGE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEMA D NUNLEY PHARM.D. (PHARMACIST/OWNER)
(662) 365-2100
Entity
Organization
Contact information
Practice address
1025 NORTHRIDGE RD, BALDWYN, MS 38824-1173
(662) 365-2100
(662) 365-3100
Mailing address
1025 NORTHRIDGE RD, BALDWYN, MS 38824-1173
(662) 365-2100
(662) 365-3100
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07443/01.1
MS
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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