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Organization
LARUE'S DISCOUNT DRUGS
Active
Organization
LARUE'S DISCOUNT DRUGS
Active
Other names
LaRue's Discount Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
LARUE BAKER (OWNER)
(601) 833-7455
Entity
Organization
Contact information
Practice address
428 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2351
(601) 833-7455
(601) 833-3987
Mailing address
428 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2351
(601) 833-7455
(601) 833-3987
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
F02272
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030249
—
MS
01
—
2045343
PK
—
Enumeration date
08/10/2006
Last updated
07/22/2022
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