Organization
MEDICAL CENTER PHARMACY
Active
Other names
MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STAN DILLON RPH (OWNER, PIC)
(662) 534-2101
Entity
Organization
Contact information
Practice address
218 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2101
(622) 534-4600
Mailing address
218 OXFORD RD, NEW ALBANY, MS 38652-3115
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01344/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00093530
—
MS
01
—
2044428
PK
—
Enumeration date
02/28/2007
Last updated
12/20/2016
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