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Magic Mart Pharmacy,inc
Pharmacy in Indianola, Mississippi
NPI 1194804591

Magic Mart Pharmacy,inc is a Pharmacy based in Indianola, MS. Magic Mart Pharmacy,inc practices in Indianola, MS. The NPI Number for Magic Mart Pharmacy,inc is 1194804591 and holds a License No. 01301 (Mississippi).

The current practice location address for Magic Mart Pharmacy,inc is 903 Highway 82 E Bldg G, Indianola, MS and can be reached out via phone at 662-887-4135 and via fax at 662-887-9703.

Location: 903 Highway 82 E Bldg G, Indianola, MS, 38751-2325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194804591
Provider Name
Magic Mart Pharmacy,inc
Credential
Provider Entity Type
Organization
Address
903 Highway 82 E Bldg G, Indianola, MS, 38751-2325
Phone Number
662-887-4135
Fax Number
662-887-9703
Provider Enumeration Date
11/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0966510001 01 MS MEDICARE DME
2517324 01 MS NCPDP
00330007 05 MS
00440170 01 MS MEDICAID DME
institution
Provider Business Practice Location Address Details
Address
903 Highway 82 E Bldg G
City
Indianola
State
Mississippi
Zip
38751-2325
Phone Number
662-887-4135
Fax Number
662-887-9703
person
Provider Business Mailing Address Details
Address
903 Highway 82 E Bldg G
City
Indianola
State
Mississippi
Zip
38751-2325
Phone Number
662-887-4135
Fax Number
662-887-9703
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
01301 (Mississippi)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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