Organization
S & W PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRENT BENNETT (PHARMACIST)
(662) 862-9025
Entity
Organization
Contact information
Practice address
116 S CUMMINGS ST, FULTON, MS 38843-1802
(662) 862-9025
Mailing address
116 S CUMMINGS ST, FULTON, MS 38843-1802
(662) 862-9025
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
00532
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035360
—
MS
Enumeration date
01/12/2007
Last updated
06/16/2008
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