# BOONES PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BOONE'S PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194839183
- **Authorized official:** LARRY BOONE (PRES)
- **Authorized official phone:** (601) 795-4566

## Contact information

- **Practice address:** 937 S MAIN ST, POPLARVILLE, MS 39470-3111
- **Practice address phone:** (601) 795-4566
- **Practice address fax:** (601) 795-4571
- **Mailing address:** 937 S MAIN ST, POPLARVILLE, MS 39470-3111
- **Mailing address phone:** (601) 795-4566
- **Mailing address fax:** (601) 795-4571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 00935/1.1 | MS | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 09/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000040311 | — | MS |
| 05 | — | 00039543 | — | MS |
| 01 | — | 2043395 | PK | — |