NPI 1003507393
Gluckstadt Pharmacy LLC
Practice location
- Address
- 154 Calhoun Station Parkway Suite 1, Gluckstadt, MS 39110
- Phone
- (601) 720-2290
- Fax
- (601) 790-2292
- Mailing address
- 195 E Peace St, Canton, MS 39046-4519
Authorised official
- Name
- David R Berry
- Title
- Owner/Member
- Phone
- (601) 859-3939
Registered specialties
Long Term Care Pharmacy
Primary
Registry record
- NPI
- 1003507393
- Entity type
- Organization
- NPI issued
- 17 May 2023
- Record last updated
- 19 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.