Organization
SMITHVILLE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S. PHILLIP CARSON R. PH (PRESIDENT)
(662) 651-5377
Entity
Organization
Contact information
Practice address
63432 HIGHWAY 25 N, SMITHVILLE, MS 38870-7763
(662) 651-5377
(662) 651-5379
Mailing address
63432 HIGHWAY 25 N, SMITHVILLE, MS 38870-7763
(662) 651-5377
(662) 651-5379
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
04541/01.1
MS
333600000X
Pharmacy
Primary
CS-04541/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440615
—
MS
Enumeration date
01/12/2006
Last updated
08/22/2020
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