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Organization

WINN IMMUNIZATION SERVICES

Active
Parent organization
WINN ENTERPRISES P.C.D., INC.
Other names
Winn Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
WINN ENTERPRISES P.C.D., INC.
Authorized official
MR. MICHAEL LOUIS WINN SR. R.PH. (PRESIDENT)
(601) 442-4527
Entity
Organization

Contact information

Practice address
149 PILGRIM RD, NATCHEZ, MS 39120-2650
(601) 442-4527
(601) 442-4490
Mailing address
149 PILGRIM RD, NATCHEZ, MS 39120-2650
(601) 442-4527
(601) 442-4490

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0414901
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00440611
MS
Enumeration date
10/05/2010
Last updated
10/05/2010
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