Organization
CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY MONDAY (OWNER)
(601) 579-4453
Entity
Organization
Contact information
Practice address
1 LINCOLN PKWY, SUITE 100, HATTIESBURG, MS 39402-3262
(601) 261-4045
(601) 261-2779
Mailing address
1 LINCOLN PKWY, SUITE 100, HATTIESBURG, MS 39402-3262
(601) 261-4045
(601) 261-2779
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08753029
—
MS
Enumeration date
10/03/2006
Last updated
08/22/2020
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