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Organization
WOODS DRUG STORE INC
Active
Organization
WOODS DRUG STORE INC
Active
Other names
MAIN STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR BAILEY RPH (CO OWNER PHARMACIST)
(662) 647-5541
Entity
Organization
Contact information
Practice address
315 W MAIN ST, CHARLESTON, MS 38921-2232
(662) 647-5541
(662) 647-5546
Mailing address
315 W MAIN ST, CHARLESTON, MS 38921-2232
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
00528
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035173
—
MS
01
—
2502727
OTHER ID NUMBER
—
Enumeration date
10/14/2005
Last updated
12/03/2007
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