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Organization

SOUTHWEST PHARMACY, INC.

Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOE KEITH GUY R.PH., FACA, FIACP (OWNER/PRESIENT)
(601) 684-9602
Entity
Organization

Contact information

Practice address
312 MARION AVE, MCCOMB, MS 39648-2708
(601) 684-9602
(601) 684-2559
Mailing address
312 MARION AVE, MCCOMB, MS 39648-2708
(601) 684-9602
(601) 684-2559

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00440090
MS
Enumeration date
07/24/2006
Last updated
09/21/2021
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