Keystone Pharmacy LLC
NPI #1407109457 in Madison, Mississippi
Provider Information
- NPI Number
- 1407109457
- Entity Type
- Organization
- Organization Name
- Keystone Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Oct 15, 2012
- Last Updated
- Dec 11, 2024
Practice Location
- Address
- 106 HIGHLAND WAY STE 206
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6930
- Phone
- (601) 707-9727
Authorized Official
- Name
- JEFFERY KING
- Title
- CHIEF CLINICAL OFFICER
- Phone
- (601) 707-9727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Mail Order Pharmacy — Mail Order Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
| Pharmacy |
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