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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