Region IV Mh Mr Commission Phcy
NPI #1518040500 in Booneville, Mississippi
Provider Information
- NPI Number
- 1518040500
- Entity Type
- Organization
- Organization Name
- Region IV Mh Mr Commission Phcy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Aug 30, 2016
Practice Location
- Address
- 2301B E CHAMBERS DR
- City
- Booneville
- State
- Mississippi
- ZIP Code
- 38829
- Phone
- (662) 728-3174
Authorized Official
- Name
- CHARLIE SPEARMAN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (662) 286-9883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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