NPI 1356718233

Horn Lake Family Practice

Organisation Community/Retail Pharmacy Horn Lake, MS

Practice location

Address: 3102 Goodman Rd W, Horn Lake, MS 38637-1172
Phone: (662) 342-6677
Fax: (662) 342-0203
Mailing address: 1019 Government St Suite F, Ocean Springs, MS 39564-3860

Authorised official

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

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 14467 (MS)

Other Pharmacy providers in Mississippi →

Compounding Pharmacy

Suppliers Taxonomy 3336C0004X

Registry record

NPI: 1356718233
Entity type: Organization
NPI issued: 27 Aug 2015
Record last updated: 18 Feb 2016

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.