Organization
PANOLA PHARMACY, LLC
Active
Other names
Panola Pharmacy, Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J SULLIVANT (OWNER)
(662) 934-3039
Entity
Organization
Contact information
Practice address
440 HIGHWAY 6 E, BATESVILLE, MS 38606-3000
(662) 855-1204
(662) 855-1218
Mailing address
440 HIGHWAY 6 E, BATESVILLE, MS 38606-3000
(662) 855-1204
(662) 855-1218
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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