Organization
TOTAL CARE SPECIALTY PHARMACY, LLC
Active
Other names
TOTAL CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DE'SHAWN NICHELLE GRAVES CPHT (OWNER)
(601) 618-0002
Entity
Organization
Contact information
Practice address
4079 PEMBERTON SQUARE BLVD, VICKSBURG, MS 39180-5580
(601) 618-0002
(601) 501-7831
Mailing address
PO BOX 820474, VICKSBURG, MS 39182-0474
(601) 618-0002
(601) 501-7831
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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