# CANTON DISCOUNT DRUGS LTC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CANTON DISCOUNT DRUGS INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003388240
- **Legal business name:** CANTON DISCOUNT DRUGS INC
- **Authorized official:** RANDALL STRONG R.PH. (PHARMACIST)
- **Authorized official phone:** (601) 859-3827

## Contact information

- **Practice address:** 726 E PEACE ST, CANTON, MS 39046-4731
- **Practice address phone:** (601) 859-3827
- **Practice address fax:** (601) 859-3829
- **Mailing address:** 726 E PEACE ST, CANTON, MS 39046-4731
- **Mailing address phone:** (601) 859-3827
- **Mailing address fax:** (601) 859-3829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/28/2018
- **Last updated:** 12/28/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00094684 | — | MS |