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Organization

GREENWOOD LEFLORE PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID EUGENE CLARK RPH (PHARMACIST IN CHARGE)
(662) 455-6809
Entity
Organization

Contact information

Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 455-6809
(662) 459-2761
Mailing address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 455-6809
(662) 459-2761

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14368/1.1
MS

Other

Enumeration date
06/12/2015
Last updated
06/12/2015
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