Organization
TARA PHARMACY SE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R. COX II PHARMD (VICE PRESIDENT)
(601) 664-1664
Entity
Organization
Contact information
Practice address
110 METROPLEX BLVD, SUITE H, PEARL, MS 39208
(601) 664-1664
(601) 664-1661
Mailing address
P.O. BOX 428, 3690 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-0428
(716) 662-4955
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01902360
—
MS
Enumeration date
06/13/2007
Last updated
02/25/2022
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