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Organization

APPLE PHARMACEUTICALS & HEALTHCARE SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DE'SHAWN N GRAVES CPHT (OWNER)
(850) 630-6072
Entity
Organization

Contact information

Practice address
115 RILEY DR, JACKSON, MS 39209-2595
(601) 923-4200
(601) 923-2771
Mailing address
115 RILEY DR, JACKSON, MS 39209-2595
(601) 923-4200
(601) 923-2771

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
MS
291U00000X
Clinical Medical Laboratory
MS
332100000X
Department of Veterans Affairs (VA) Pharmacy
MS
3336C0003X
Community/Retail Pharmacy
MS
3336C0004X
Compounding Pharmacy
MS
3336M0002X
Mail Order Pharmacy
MS

Other

Enumeration date
10/05/2015
Last updated
10/05/2015
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