Rolling Fork Drug Co

NPI #1508413592 in Rolling Fork, Mississippi

Provider Information

NPI Number
1508413592
Entity Type
Organization
Organization Name
Rolling Fork Drug Co
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Aug 23, 2019
Last Updated
Dec 19, 2019

Practice Location

Address
20917 HIGHWAY 61
ZIP Code
39159-5027
Phone
(662) 873-4723

Authorized Official

Name
GUY M PHILLIPS, RPH.
Title
OWNER/PRESIDENT
Phone
(662) 207-0616

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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