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NPI 1275647232

NPI 1275647232 : MCNAMED PHARMACY LLC : FLOWOOD, MS

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General NPI Number Information
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    NPI Number           |    1275647232
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    Entity Type          |    Organization 
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    Legal Business Name  |    MCNAMED PHARMACY LLC 
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Dates
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    Enumeration Date     |    08/18/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    4290 LAKELAND DR STE D
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    City                 |    FLOWOOD
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    State                |    MS
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    Zip                  |    39232-9571
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    Country              |    US
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    Telephone            |    601-933-0565
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    Fax                  |    601-932-6215
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Provider Business Mailing Address
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    Address Line         |    4290 LAKELAND DR STE D
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    City                 |    FLOWOOD
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    State                |    MS
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    Zip                  |    39232-9571
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DAVID  MCNAMARA 
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    Credential           |    
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    Telephone            |    601-933-0550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    05677025
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    License Number State |    MS
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Taxonomy #2
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    Taxonomy Code        |    3336S0011X
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    Taxonomy Name        |    Specialty Pharmacy
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    License Number       |    
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    License Number State |    
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