Organization
FAMILY HEALTH CENTER INC
Active
Other names
FAMILY HEALTH CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD HENRY (PHARMACY DIR)
(601) 425-3033
Entity
Organization
Contact information
Practice address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
(601) 422-0727
Mailing address
PO BOX 4361, LAUREL, MS 39441-4361
(601) 425-3033
(601) 422-0727
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
04873
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030565
—
MS
01
—
2045093
PK
—
Enumeration date
06/09/2006
Last updated
09/28/2016
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