Horn Lake Family Practice

Organization Active NPI Community/Retail Pharmacy · Horn Lake, MS

NPI 1356718233 · NPPES record last updated Feb 18, 2016

Key facts

NPI
1356718233
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
14467 (MS)
Legal business name
HORN LAKE FAMILY PRACTICE
Practice address
3102 Goodman Rd W
Horn Lake, MS 38637-1172
Phone
(662) 342-6677
Fax
(662) 342-0203
NPI assigned
Aug 27, 2015
Organization subpart
No

Authorized official

Name
Sheetal Sharma
Title
Member
Phone
(662) 342-6677

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 14467 MS Yes
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

3102 Goodman Rd W
Horn Lake, MS 38637-1172

Mailing address

1019 Government St
Suite F
Ocean Springs, MS 39564-3860
Phone (228) 447-3823

Other identifiers

IdentifierTypeStateIssuer
2153358OtherPK

Other names

  • Horn Lake Family Practice Doing business as

Other providers in Horn Lake, MS

All providers in Horn Lake, MS · Community/Retail Pharmacy in Mississippi

Sources for this page

Verify at the official NPI Registry.