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Organization

MIDSOUTH MEDICAL SPECIALTIES, LLC

Active
Other names
Oak Park Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
EDWIN O'BANNON RPH (CEO)
(662) 449-7876
Entity
Organization

Contact information

Practice address
105 SAWTOOTH OAK ST, HOT SPRINGS, AR 71901-7160
(501) 623-2222
Mailing address
185 W CENTER ST, HERNANDO, MS 38632-2268
(662) 449-7876
(662) 449-7970

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
AR20697
AR

Other

Enumeration date
04/05/2017
Last updated
04/05/2017
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