Organization
BOONEVILLE COMMUNITY PHARMACY OF MS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY SMITH (OWNER)
(901) 831-8669
Entity
Organization
Contact information
Practice address
206 N 2ND ST, BOONEVILLE, MS 38829-2702
(662) 728-1951
Mailing address
206 N 2ND ST, BOONEVILLE, MS 38829-2702
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
05/23/2023
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