Organization
COLDWATER PHARMACY INC
Active
Other names
Coldwater Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN PERKINS RPH (OWNER, PIC)
(662) 622-7441
Entity
Organization
Contact information
Practice address
421 CENTRAL AVE, COLDWATER, MS 38618-3915
(662) 622-7441
(662) 622-7004
Mailing address
PO BOX 309, COLDWATER, MS 38618-0309
(662) 622-7441
(662) 622-7004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00625/01.1
MS
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094226
—
MS
05
—
00440543
—
MS
01
—
2127928
PK
—
Enumeration date
11/29/2006
Last updated
01/27/2015
Update your record
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