Organization
CAMELLIA PHARMACY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY EVERETT RPH (PHARMACIST IN CHARGE)
(601) 863-1300
Entity
Organization
Contact information
Practice address
885 LIBERTY RD STE 500, FLOWOOD, MS 39232-9000
(601) 714-1868
(601) 420-6866
Mailing address
885 LIBERTY RD STE 500, FLOWOOD, MS 39232-9000
(601) 714-1868
(601) 420-6866
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
08271/2.0
MS
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00329571
—
MS
01
—
2122571
PK
—
Enumeration date
10/14/2009
Last updated
04/28/2021
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