Organization
PROGRESSIVE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANAESHA TOLES PHARMD (PHARMACIST-IN-CHARGE)
(662) 712-1478
Entity
Organization
Contact information
Practice address
303 MEDICAL CENTER DR STE 101, BATESVILLE, MS 38606-8608
(662) 712-1478
(662) 712-1479
Mailing address
303 MEDICAL CENTER DR STE 101, BATESVILLE, MS 38606-8608
(662) 712-1478
(662) 712-1479
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/25/2021
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