Organization
PROFESSIONAL PHARMACY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAL SOLDEVILA (PRES)
(662) 624-6592
Entity
Organization
Contact information
Practice address
260 DELTA AVE, CLARKSDALE, MS 38614-4213
(662) 624-6592
Mailing address
260 DELTA AVE, CLARKSDALE, MS 38614-4213
(662) 624-6592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
02101
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030537
—
MS
05
—
00440863
—
MS
01
—
2516029
NCPDP
MS
Enumeration date
10/05/2006
Last updated
08/22/2020
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