# WOODS DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAIN STREET PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003805862
- **Authorized official:** VICTOR BAILEY RPH (CO OWNER PHARMACIST)
- **Authorized official phone:** (662) 647-5541

## Contact information

- **Practice address:** 315 W MAIN ST, CHARLESTON, MS 38921-2232
- **Practice address phone:** (662) 647-5541
- **Practice address fax:** (662) 647-5546
- **Mailing address:** 315 W MAIN ST, CHARLESTON, MS 38921-2232

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 00528 | MS | Yes |

## Other

- **Enumeration date:** 10/14/2005
- **Last updated:** 12/03/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0035173 | — | MS |
| 01 | — | 2502727 | OTHER ID NUMBER | — |
