Thirteenth Avenue Pharmacy

NPI 1255474102 - Pharmacy - 3336C0003X

NPI Details
NPI 1255474102
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KYLE AARON KYLE
Position PHARMACIST OWENER
Phone (601) 428-7257
Fax (601) 428-0074
Practice Location
216 S 13TH AVE
LAUREL MS, 39440-4226, US
Phone (601) 428-7257
Fax (601) 428-0074
Business Location
216 S 13TH AVE
LAUREL MS, 39440-4226, US
Phone (601) 428-7257
Fax (601) 428-0074
Toxanomy
Taxonomy Code 3336C0003X
License State Mississippi
License Number 01527 01.1
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According to our database, Thirteenth Avenue Pharmacy NPI is 1255474102, taxonomy code is 3336C0003X and license number is 01527 01.1, license state is located at Mississippi. Thirteenth Avenue Pharmacy physically located at 216 S 13th Ave, Laurel MS, 39440-4226. NPI Number 1033115704 has the healthcare provider type.

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1255474102 NPI number is provided on an as is basis without warranty of any kind. 1255474102 is maintained by the National Plan & Provider Enumeration System. The contents of Thirteenth Avenue Pharmacy are for informational purposes only.