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General NPI Number Information
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NPI Number | 1558145706
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Entity Type | Organization
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Legal Business Name | FLOWOOD DRUG COMPANY, LLC
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 281 BELLE MEADE PT STE B
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City | FLOWOOD
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State | MS
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Zip | 39232-3311
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Country | US
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Telephone | 601-203-0507
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Fax | 601-203-0527
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Provider Business Mailing Address
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Address Line | 281 BELLE MEADE PT STE B
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City | FLOWOOD
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State | MS
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Zip | 39232-3311
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Country | US
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Telephone | 601-203-0507
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Fax | 601-203-0527
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY HUTCHINS
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Credential | PHARM D
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Telephone | 601-203-0507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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