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Organization

DVC PHARMACY LLC

Active
Other names
DVC Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
LISA STODDARD (OFFICE MANAGER)
(662) 513-6600
Entity
Organization

Contact information

Practice address
1107 EARL FRYE BLVD, SUITE #1, AMORY, MS 38821-5519
(662) 257-2357
(662) 257-2399
Mailing address
PO BOX 511, AMORY, MS 38821-0511
(662) 257-2357
(662) 257-2399

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
15100
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2167168
PK
Enumeration date
01/17/2017
Last updated
02/14/2017
About Stedi
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