Organization
THOMAS PHARMACY GARDINER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY EUGENE THOMAS RPH (OWNER PHARMACIST)
(601) 428-5977
Entity
Organization
Contact information
Practice address
170 LEONTYNE PRICE BLVD, LAUREL, MS 39440-4428
(601) 428-5977
(601) 428-7150
Mailing address
PO BOX 4111, LAUREL, MS 39441-4111
(601) 428-5977
(601) 428-7150
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5123500001
MS
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330692
—
MS
05
—
01454526
—
MS
Enumeration date
04/04/2006
Last updated
03/26/2020
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