# IUKA PHARMACY SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Iuka Discount Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043239031
- **Authorized official:** MR. TIMOTHY LEE GRIFFIN PHARMD (OWNER)
- **Authorized official phone:** (662) 423-9039

## Contact information

- **Practice address:** 1411 W QUITMAN ST, IUKA, MS 38852-1130
- **Practice address phone:** (662) 423-9039
- **Practice address fax:** (662) 423-9318
- **Mailing address:** 1411 W QUITMAN ST, IUKA, MS 38852-1130
- **Mailing address phone:** (662) 423-9039
- **Mailing address fax:** (662) 423-9318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 00827011 | MS | — |
| 333600000X | Pharmacy | 00827011 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 09/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00092754 | — | MS |
| 01 | — | 04158389 | DME MEDICAID | MS |