Organization
JAMES POE
Active
Other names
MARTIN'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY R POE RPH (OWNER)
(662) 887-4533
Entity
Organization
Contact information
Practice address
124 E BAKER ST, INDIANOLA, MS 38751-2451
(662) 887-4533
(662) 887-4572
Mailing address
124 E BAKER ST, INDIANOLA, MS 38751-2451
(662) 887-4533
(662) 887-4572
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01009
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01286588
—
MS
Enumeration date
04/18/2008
Last updated
01/13/2009
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