Organization
IUKA PHARMACY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LEE GRIFFIN PHARMD (OWNER)
(662) 423-9039
Entity
Organization
Contact information
Practice address
1411 W QUITMAN ST, IUKA, MS 38852-1100
(662) 423-9039
(662) 423-9318
Mailing address
1411 W QUITMAN ST, IUKA, MS 38852-1130
(662) 423-9039
(662) 423-9318
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00092754
—
MS
Enumeration date
08/02/2019
Last updated
04/18/2023
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