DVC Pharmacy LLC
Organization Active NPI Community/Retail Pharmacy · Amory, MS
NPI 1922544865 · NPPES record last updated Feb 14, 2017
Key facts
- NPI
- 1922544865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 15100 (MS)
- Legal business name
- DVC PHARMACY LLC
- Practice address
- 1107 Earl Frye Blvd
Suite #1
Amory, MS 38821-5519 - Phone
- (662) 257-2357
- Fax
- (662) 257-2399
- NPI assigned
- Jan 17, 2017
- Organization subpart
- No
Authorized official
- Name
- Lisa Stoddard
- Title
- Office Manager
- Phone
- (662) 513-6600
Practitioners 1
-
Vern M Christensen, DPM
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 15100 | MS | Yes |
Addresses
Primary practice location
1107 Earl Frye Blvd
Suite #1
Amory, MS 38821-5519
Mailing address
PO Box 511
Amory, MS 38821-0511
Phone (662) 257-2357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167168 | Other | PK |
Other names
- DVC Pharmacy
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All providers in Amory, MS · Community/Retail Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.