FREDS WESTSIDE PHARMACY INC
Pharmacy at Kirkwood St, Greenbrier Park, MS

License number
Mississippi E6116
Category
Pharmacy
Type
Pharmacist
Owner
Name: RONALD S FEALKO
Title: PHARMACIST IN CHARGE
Phone: (601) 798-8888
Address
Address
207 Kirkwood St, Greenbrier Park, MS 39466
National Provider ID: 1265520290
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FRED'S WESTSIDE PHARMACY, INC

207 Kirkwood St, Picayune, MS 39466

Industry:
Ret Drugs/Sundries
Phone:
(601) 798-8888 (Phone)
State ID:
606648
Director Of Pharmacy, Pharmacists:
Dianne V Cruse (Incorporator), 11 Lakeside Dr, Carriere, MS 39426,Fred Cruse Iii (Incorporator), 207 Kirkwood St, Picayune, MS 39466,Dianne V. Cruse (Director, President, Treasurer, Owner, Pharmacist), 722 Lakeside Dr, Carriere, MS 39426,...

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