NPI 1568132058
Total Care Specialty Pharmacy, LLC
Practice location
- Address
- 4079 Pemberton Square Blvd, Vicksburg, MS 39180-5580
- Phone
- (601) 618-0002
- Fax
- (601) 501-7831
- Mailing address
- PO Box 820474, Vicksburg, MS 39182-0474
Authorised official
- Name
- De'Shawn Nichelle Graves
- Title
- Owner
- Phone
- (601) 618-0002
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1568132058
- Entity type
- Organization
- NPI issued
- 15 Sep 2021
- Record last updated
- 15 Sep 2021
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.