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Emmanuel Ridge Comm Phcy — NPI 1073524583, Florence, MS | NPI Central

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NPI 1073524583

OrganizationActive

Emmanuel Ridge Comm Phcy

NPI 1073524583 · Long Term Care Pharmacy · Florence, MS

Provider details

NPI number: 1073524583
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Beatrice Ezem, President(601) 927-9839
License: 06939011 (MS)

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers
Community/Retail Pharmacy3336C0003XLicense 06939011 (MS)
Suppliers
Institutional Pharmacy3336I0012X
Suppliers

Practice location

2073 Highway 49 S

Florence, MS 39073-9422

Phone: (601) 845-3544

Fax: (601) 845-3636

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

Po Box 1522

Florence, MS 39073-1522

Registry dates

Enumerated: 2006-08-10
Last updated: 2025-09-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.