Organization
CHRIS PHARMACY LLC
Active
Other names
Chris' Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BONNER (OWNER/PHARNACIST)
(662) 242-2567
Entity
Organization
Contact information
Practice address
2320 5TH ST N, COLUMBUS, MS 39705-2214
(662) 328-4300
(662) 328-4306
Mailing address
2320 5TH ST N, COLUMBUS, MS 39705-2214
(662) 328-4300
(662) 328-4306
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11547/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01279241
—
MS
01
—
2136424
PK
—
Enumeration date
08/09/2012
Last updated
05/18/2016
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