Organization
KLEPZIG SMITH INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE KLEPZIG RPH (OWNER PHARMACIST)
(662) 893-7400
Entity
Organization
Contact information
Practice address
9065 SANDIDGE CENTER COVE, SUITE A, OLIVE BRANCH, MS 38654
(662) 893-7400
(662) 893-7402
Mailing address
9065 SANDIDGE CENTER COVE, SUITE A, OLIVE BRANCH, MS 38654
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
0413301
MS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330384
—
MS
01
—
2519277
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/30/2007
Last updated
03/07/2023
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