Organization
UPTOWN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY D YAWN II PHARMD (PHARMACIST)
(601) 631-1667
Entity
Organization
Contact information
Practice address
1042 GLUCKSTADT RD, SUITE D, MADISON, MS 39110-6981
(601) 631-1667
Mailing address
119 PLANTERS ROW, MADISON, MS 39110-7990
(601) 631-1667
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
14250
MS
Other
Enumeration date
03/03/2015
Last updated
03/12/2015
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