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Organization
CITY DRUGS OF CRYSTAL SPRINGS, INC.
Active
Organization
CITY DRUGS OF CRYSTAL SPRINGS, INC.
Active
Other names
City Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REAGAN L BROWN RPH (PHARMACIST)
(601) 892-4121
Entity
Organization
Contact information
Practice address
113 BO BO DR, CRYSTAL SPRINGS, MS 39059-2741
(601) 892-4121
(601) 892-1598
Mailing address
113 BO BO DR, CRYSTAL SPRINGS, MS 39059-2741
(601) 892-4121
(601) 892-1598
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01756/01.1
MS
3336L0003X
Long Term Care Pharmacy
01756/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030165
—
MS
01
—
2501624
NCPDP NUMBER
MS
Enumeration date
02/23/2006
Last updated
08/10/2016
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