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Organization

WELCH FAMILY PHARMACY LLC

Active
Other names
Welch Family Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT WELCH (OWNER)
(662) 213-5234
Entity
Organization

Contact information

Practice address
848 S MADISON ST, TUPELO, MS 38801-4905
(662) 213-5234
Mailing address
848 S MADISON ST, TUPELO, MS 38801-4905
(662) 213-5234

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
10617/1.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2588676
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
02/09/2012
Last updated
10/26/2012
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