Provider Demographics
NPI:1093366577
Name:COMMUNITY PHARMACY, LLC
Entity Type:Organization
Organization Name:COMMUNITY PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:STRICKLAND
Authorized Official - Last Name:FITTS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:225-715-9146
Mailing Address - Street 1:PO BOX 1222
Mailing Address - Street 2:
Mailing Address - City:CALHOUN CITY
Mailing Address - State:MS
Mailing Address - Zip Code:38916-1222
Mailing Address - Country:US
Mailing Address - Phone:626-600-0111
Mailing Address - Fax:662-600-0010
Practice Address - Street 1:1101 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CALHOUN CITY
Practice Address - State:MS
Practice Address - Zip Code:38916-9677
Practice Address - Country:US
Practice Address - Phone:662-600-0111
Practice Address - Fax:662-600-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy