Organization
FLORA PHARMACY LLC
Active
Other names
Flora Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HARDY (OWNER)
(662) 299-9676
Entity
Organization
Contact information
Practice address
740 HIGHWAY 49 STE U, FLORA, MS 39071-9653
(601) 401-5060
(601) 401-5075
Mailing address
740 HIGHWAY 49 STE U, FLORA, MS 39071-9653
(601) 401-5060
(601) 401-5075
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14899/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04778081
—
MS
01
—
2160990
PK
—
Enumeration date
06/28/2016
Last updated
07/18/2022
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