OrganizationActive
Magic Mart Pharmacy,inc
NPI 1356196273 · Long Term Care Pharmacy · Indianola, MS
Provider details
- NPI number
- 1356196273
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Guy Phillips, President/Owner(662) 887-4135
Specialties & taxonomies
Suppliers
Practice location
903 Highway 82 E Bldg G
Indianola, MS 38751-2325
Phone: (662) 887-4135
Fax: (662) 887-9703
Approximate (ZIP-level) locationGet directions
Mailing address
903 Highway 82 E Bldg G
Indianola, MS 38751-2325
Other names (DBA / former)
- Doing business as
- Magic Mart Pharmacy Ltc
Registry dates
- Enumerated
- 2024-04-23
- Last updated
- 2024-04-23
- Certified
- 2024-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.