Organization
PHARMACY MANAGEMENT GROUP
Active
Other names
Total Care Pharmacy of Okolona
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY OSWALT (EXECUTIVE ASSISTANT)
(662) 327-4025
Entity
Organization
Contact information
Practice address
203 S CHURCH ST, OKOLONA, MS 38860-1608
(662) 447-5400
(662) 447-3043
Mailing address
203 S CHURCH ST, OKOLONA, MS 38860-1608
(662) 447-5400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07474
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2520078
NCPCP
MS
01
—
2520078
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/19/2006
Last updated
03/07/2023
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