KEYSTONE PHARMACY LLC NPI 1407109457

NPI Information

KEYSTONE PHARMACY LLC is a pharmacy in Madison, MS. The provider is 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 located. KEYSTONE PHARMACY LLC NPI is 1407109457. The provider is registered as an organization entity type.
The provider Is Doing Business As Keystone Pharmacy Llc.

The provider's business location address is:

106 HIGHLAND WAY STE 206
MADISON, MS
ZIP 39110-930
Phone: (601) 707-9727
Fax: (601) 510-3846

The provider's authorized official is Kim Clark .
The authorized official title is Owner and has the following contact phone number (601) 707-9727.

The enumeration date for this NPI number is 10/15/2012 and was last updated on 1/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.