Gw Pharmacy LLC
NPI #1972893006 in Brandon, Mississippi
Provider Information
- NPI Number
- 1972893006
- Entity Type
- Organization
- Organization Name
- Gw Pharmacy LLC
- Primary Specialty
- Pharmacy - Specialty Pharmacy
- Enumeration Date
- Apr 11, 2011
- Last Updated
- May 16, 2011
Practice Location
- Address
- 201 N COLLEGE ST STE 101
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-4439
- Phone
- (601) 825-2897
Authorized Official
- Name
- WAYMON TIGRETT
- Title
- OWNER
- Phone
- (601) 573-7788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
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