Organization
GLUCKSTADT SPECIAL CARE PHARMACY & COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL C BARRETT (OWNER/PHARMACIST)
(601) 529-9341
Entity
Organization
Contact information
Practice address
1716 HIGHWAY 51, SUITE N, MADISON, MS 39110-5020
(601) 636-5555
(601) 638-1564
Mailing address
1716 HWY 51 NORTH, SUITE N, MADISON, MS 39110
(601) 636-5555
(601) 638-1564
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
08504
MS
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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