Mississippi Cvs Pharmacy LLC
NPI #1740682210 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1740682210
- Entity Type
- Organization
- Organization Name
- Mississippi Cvs Pharmacy LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Sep 16, 2014
- Last Updated
- Apr 6, 2015
Practice Location
- Address
- 1435 N. FRONTAGE RD
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-5170
- Phone
- (601) 661-9652
Authorized Official
- Name
- SUSAN F COLBERT
- Title
- DIRECTOR
- Phone
- (401) 765-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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