Organization
PHARMACY MANAGEMENT GROUP LLC
Active
Other names
Total Care Specialty
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD HARRIS RPH (PHRM OWNER)
(662) 327-4025
Entity
Organization
Contact information
Practice address
425 MAIN ST, COLUMBUS, MS 39701-4533
(662) 328-1766
(662) 328-9273
Mailing address
425 MAIN ST, COLUMBUS, MS 39701-4533
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
00363
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030031
—
MS
01
—
2500266
OTHER ID NUMBER
—
Enumeration date
02/21/2007
Last updated
05/06/2008
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