Organization
MISSISSIPPI SENIOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MARC GUNNELLS R.PH (PRESIDENT)
(662) 678-3330
Entity
Organization
Contact information
Practice address
86 S THOMAS ST, TUPELO, MS 38801-4355
(662) 844-0400
(662) 844-5605
Mailing address
86 S THOMAS ST, TUPELO, MS 38801-4355
(662) 844-0400
(662) 844-5605
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1382603
—
MS
Enumeration date
05/11/2015
Last updated
07/28/2021
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