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HOME MEDICAL PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDACE HARVEY (COMPLIANCE OFFICER)
(601) 983-7168
Entity
Organization

Contact information

Practice address
105 CUNNINGHAM STREET, TERRY, MS 39170
(601) 983-7168
Mailing address
PO BOX 515, TERRY, MS 39170-0515

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy

Other

Enumeration date
04/30/2026
Last updated
04/30/2026
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