OrganizationActive
Mantachie Pharmacy LLC
NPI 1902474190 · Long Term Care Pharmacy · Mantachie, MS
Provider details
- NPI number
- 1902474190
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Katlyn Spradling, Owner(662) 282-7000
Specialties & taxonomies
Suppliers
Practice location
3309 Highway 371 N
Mantachie, MS 38855-7267
Phone: (662) 282-7000
Fax: (662) 282-7007
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 96
Mantachie, MS 38855-0096
Registry dates
- Enumerated
- 2021-06-14
- Last updated
- 2021-06-14
- Certified
- 2021-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.