# JOHNS' DISCOUNT DRUGS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356477863
- **Authorized official:** BARRY LEWIS WAITS (PHARMACIST)
- **Authorized official phone:** (601) 796-4761

## Contact information

- **Practice address:** 410 W MAIN AVE, LUMBERTON, MS 39455-2437
- **Practice address phone:** (601) 796-4761
- **Practice address fax:** (601) 796-4764
- **Mailing address:** 410 W MAIN AVE, LUMBERTON, MS 39455-2437
- **Mailing address phone:** (601) 796-4761
- **Mailing address fax:** (601) 796-4764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 920IJL | MS | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 03/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0032581 | — | MS |
