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Organization

WELLS LOTT VILLAGE PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LOWELL G LOTT (PRESIDENT)
(622) 335-1173
Entity
Organization

Contact information

Practice address
1442 S MAIN ST, GREENVILLE, MS 38701-7026
(662) 335-1173
(662) 335-0731
Mailing address
1442 S MAIN ST, GREENVILLE, MS 38701-7026
(662) 335-1173
(662) 335-0731

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0156001.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0034860
MS
Enumeration date
11/09/2006
Last updated
08/22/2020
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