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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