Organization
GOLDEN TRIANGLE PLANNING AND DEVELOPMENT DISTRICT
Active
Parent organization
GOLDEN TRIANGLE PLANNING AND DEVELOPMENT DISTRICT
Other names
GOLDEN TRIANGLE PDD PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOLDEN TRIANGLE PLANNING AND DEVELOPMENT DISTRICT
Authorized official
MR. RUPERT L JOHNSON (EXECUTIVE DIRECTOR)
(662) 324-7860
Entity
Organization
Contact information
Practice address
301 CC CLARK, STARKVILLE, MS 39759
(662) 320-2011
(662) 320-2004
Mailing address
PO BOX 828, STARKVILLE, MS 39760-0828
(662) 320-2011
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
F12603
MS
3336C0003X
Community/Retail Pharmacy
F12603
MS
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/11/2013
Last updated
09/28/2018
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