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
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 PharmacySpecialty Pharmacy

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