Organization
SOUTHWEST PHARMACY INC
Active
Other names
Guy's Pharmacy of Crystal Springs
Organization subpart
No
Provider details
NPI number
Authorized official
JOE GUY (OWNER AND PRESIDENT)
(601) 647-0030
Entity
Organization
Contact information
Practice address
512 W MARION AVE, CRYSTAL SPRINGS, MS 39059-2747
(601) 647-0030
(601) 647-0033
Mailing address
512 W MARION AVE, CRYSTAL SPRINGS, MS 39059-2747
(601) 647-0030
(601) 647-0033
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
15055/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04456875
—
MS
01
—
2166424
PK
—
Enumeration date
12/01/2016
Last updated
08/25/2021
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