Gentex Pharma
NPI #1114373586 in Ridgeland, Mississippi
Provider Information
- NPI Number
- 1114373586
- Entity Type
- Organization
- Organization Name
- Gentex Pharma
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- May 4, 2016
- Last Updated
- May 4, 2016
Practice Location
- Address
- 121 MARKETRIDGE DR
- Address 2
- SUITE C
- City
- Ridgeland
- State
- Mississippi
- ZIP Code
- 39157-6027
- Phone
- (601) 990-9497
Authorized Official
- Name
- FORD JENNINGS MUNDY, PERSON IN CHARGE
- Title
- OWNER
- Phone
- (870) 243-1687
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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