Organization
SOUTHWEST PHARMACY, INC
Active
Other names
ANCHOR HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE KEITH GUY R.PH., FACA, FIACP (OWNER PRESIDENT)
(601) 684-8070
Entity
Organization
Contact information
Practice address
312 MARION AVE # A, MCCOMB, MS 39648-2708
(601) 684-8070
(601) 684-7249
Mailing address
312 MARION AVE # A, MCCOMB, MS 39648-2708
(601) 684-8070
(601) 684-7249
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
02002/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00045113
—
MS
Enumeration date
07/08/2006
Last updated
08/25/2021
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