Magic Mart Pharmacy,inc
NPI #1194804591 in Indianola, Mississippi
Provider Information
- NPI Number
- 1194804591
- Entity Type
- Organization
- Organization Name
- Magic Mart Pharmacy,inc
- Primary Specialty
- Pharmacy
- Enumeration Date
- Nov 4, 2006
- Last Updated
- Dec 19, 2019
Practice Location
- Address
- 903 HIGHWAY 82 E BLDG G
- City
- Indianola
- State
- Mississippi
- ZIP Code
- 38751-2325
- Phone
- (662) 887-4135
Authorized Official
- Name
- GUY M MALONE
- Title
- PRESIDENT
- Phone
- (662) 887-4135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
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