Organization
FUNDERBURK'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL M SUDDUTH R.PH. (PRESIDENT)
(662) 429-5337
Entity
Organization
Contact information
Practice address
134 W COMMERCE ST, HERNANDO, MS 38632-2240
(662) 429-5337
(662) 429-5207
Mailing address
134 W COMMERCE ST, HERNANDO, MS 38632-2240
(662) 429-5337
(662) 429-5207
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
06916
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030125
—
MS
Enumeration date
02/13/2007
Last updated
03/24/2023
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