Organization
PROFESSIONAL PHARMACY, INC.
Active
Other names
Professional Pharmacy of Tylertown
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN SMITH R.PH (PRESIDENT)
(601) 876-2487
Entity
Organization
Contact information
Practice address
201 HOSPITAL DR, TYLERTOWN, MS 39667-2019
(601) 876-2487
(601) 876-0222
Mailing address
201 HOSPITAL DR, TYLERTOWN, MS 39667-2019
(601) 876-2487
(601) 876-0222
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
02151 01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030104
—
MS
Enumeration date
01/15/2007
Last updated
06/30/2010
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