Waveland Pharmacy LLC
NPI #1679507644 in Waveland, Mississippi
Provider Information
- NPI Number
- 1679507644
- Entity Type
- Organization
- Organization Name
- Waveland Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 10, 2006
- Last Updated
- Dec 14, 2015
Practice Location
- Address
- 112 AUDERER BLVD
- City
- Waveland
- State
- Mississippi
- ZIP Code
- 39576-2432
- Phone
- (228) 463-1055
Authorized Official
- Name
- RUDY LETELLIER, RPH
- Title
- OWNER PHCST
- Phone
- (228) 463-1055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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