Marketplace Pharmacy Group LLC

Organization Active NPI Community/Retail Pharmacy · Purvis, MS

NPI 1265148209 · NPPES record last updated Jan 24, 2023

Key facts

NPI
1265148209
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
MARKETPLACE PHARMACY GROUP LLC
Practice address
157 Shelby Speights Dr
Purvis, MS 39475-4094
Phone
(601) 794-8634
NPI assigned
Jan 24, 2023
Organization subpart
No

Authorized official

Name
Dr. Amy Lindsey Vivien, PHARMD
Title
Pharmacist-in-Charge
Phone
(601) 436-7969

National Provider Directory

Locations

157 Shelby Speights Dr
Purvis, MS 39475
Phone (601) 794-8634

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

157 Shelby Speights Dr
Purvis, MS 39475-4094

Mailing address

PO Box 1005
Purvis, MS 39475-1005
Phone (601) 794-8634

Other names

  • Marketplace Pharmacy Doing business as

Other providers in Purvis, MS

All providers in Purvis, MS · Community/Retail Pharmacy in Mississippi

Sources for this page

Verify at the official NPI Registry.