Organization
BENEFICIAL PHARMACEUTICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES L BOATNER JR. (PRESIDENT)
(662) 842-8400
Entity
Organization
Contact information
Practice address
2445 MCCULLOUGH BLVD, BELDEN, MS 38826
(662) 842-8400
(662) 680-4700
Mailing address
PO BOX 307, SHERMAN, MS 38869-0307
(662) 842-8400
(662) 680-4700
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
MS
Other
Enumeration date
06/28/2006
Last updated
08/22/2020
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