Organization · Type 2 NPI
Keystone Pharmacy LLC
Pharmacy · Madison, MS
Practice location
106 Highland Way Ste 206
Madison, MS 39110-6930
Fax (601) 510-3846
Mailing address
106 Highland Way, Suite 206
Madison, MS 39110-6929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Primary | 333600000X | None listed |
| Community/Retail Pharmacy | 3336C0003X | 11702 (MS) |
| Compounding Pharmacy | 3336C0004X | None listed |
| Mail Order Pharmacy | 3336M0002X | None listed |
| Specialty Pharmacy | 3336S0011X | None listed |
Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…
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About NPI 1407109457
Keystone Pharmacy LLC's National Provider Identifier is 1407109457, issued on Oct 15, 2012. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Madison, MS. The record was last updated on Apr 14, 2026.