Organization
MARKET PLACE PHARMACY, LLC
Active
Other names
Gulf Coast Sav-Rex
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ASHBAKER PHARM.D. (OWNER/PHARMACIST)
(228) 217-4167
Entity
Organization
Contact information
Practice address
1965 MARKET STREET, PASCAGOULA, MS 39567
(228) 471-4688
(228) 769-6425
Mailing address
1965 MARKET STREET, PASCAGOULA, MS 39567
(228) 471-4688
(228) 769-6425
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14260/1.1
MS
Other
Enumeration date
03/31/2015
Last updated
02/06/2017
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