Organization
MEDICAL PLAZA ON ALCORN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK W QUINN RPH (OWNER)
(662) 286-6991
Entity
Organization
Contact information
Practice address
111 ALCORN DR, CORINTH, MS 38834-9359
(662) 286-6991
Mailing address
111 ALCORN DR, CORINTH, MS 38834-9359
(662) 286-6991
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095265
—
MS
Enumeration date
02/02/2021
Last updated
02/02/2021
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