Organization · Type 2 NPI

Magnolia Drugs Inc

Long Term Care Pharmacy · Myrtle, MS

NPI number 1952932212 Active

Practice location

1757 Highway 178 W Ste B
Myrtle, MS 38650-9233

Fax (662) 988-7014

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

NPI record

NPI: 1952932212
Entity type: Organization (Type 2)
Issued: Jan 27, 2020
Last updated: Apr 30, 2020
Status: Active

Other names

<unavail>
Magnolia Drugs · doing business as
Magnolia Drugs · doing business as

Authorized official

Martin Crotts, PharmD
Pharmacist In Charge/owner
(662) 988-7030

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1952932212

Magnolia Drugs Inc's National Provider Identifier is 1952932212, issued on Jan 27, 2020. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Myrtle, MS. The record was last updated on Apr 30, 2020.