# KILMICHAEL DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KILMICHAEL DRUGS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255346896
- **Authorized official:** KENNETH ROBINSON (PHCY MNGR)
- **Authorized official phone:** (662) 262-4387

## Contact information

- **Practice address:** 306 LAMAR AVE., KILMICHAEL, MS 39747-9732
- **Practice address phone:** (662) 262-4220
- **Practice address fax:** (662) 262-4397
- **Mailing address:** PO BOX 213, KILMICHAEL, MS 39747-0213
- **Mailing address phone:** (662) 262-4387
- **Mailing address fax:** (662) 262-4397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 00225011 | MS | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 03/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330197 | — | MS |
| 01 | — | 2504961 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |