VILLIAGE PHARMACY INC
48 S Fourth St
Rolling Fork, MS 39159
662-873-9020
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | MS | 03144/01.1 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 2518465 | OTHER | |
00330208 | MS | MEDICAID |