# D AND L MED LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OLE RIVER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356406490
- **Authorized official:** DANNY MYERS RPH (OWNER)
- **Authorized official phone:** (601) 408-6250

## Contact information

- **Practice address:** 5315 OLD HIGHWAY 11, SUITE 4, HATTIESBURG, MS 39402-6224
- **Practice address phone:** (601) 271-2006
- **Practice address fax:** (800) 716-4177
- **Mailing address:** PO BOX 9830, SALT LAKE CITY, UT 84109-9830
- **Mailing address phone:** (877) 540-4748
- **Mailing address fax:** (801) 716-4872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 07214/2.3 | MS | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 10/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 03001314 | — | MS |
| 01 | — | 2047458 | PK | — |