Freds Westside Pharmacy INC
NPI #1265520290 in Picayune, Mississippi
Provider Information
- NPI Number
- 1265520290
- Entity Type
- Organization
- Organization Name
- Freds Westside Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Aug 5, 2019
Practice Location
- Address
- 207 KIRKWOOD ST
- City
- Picayune
- State
- Mississippi
- ZIP Code
- 39466-3835
- Phone
- (601) 798-8888
Authorized Official
- Name
- ROGER G CRUSE
- Title
- OWNER
- Phone
- (601) 798-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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