Organization
G A CARMICHAEL FAMILY HEALTH CENTER
Active
Other names
GAC Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES COLEMAN (CEO)
(601) 859-5213
Entity
Organization
Contact information
Practice address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-0273
Mailing address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-0273
(601) 859-3849
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04150917
—
MS
Enumeration date
12/19/2019
Last updated
09/11/2024
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