# SUMNER DRUG STORE LLC

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

## Provider details

- **NPI number:** 1356555080
- **Authorized official:** SPENCER HUDSON (PHARMACIST)
- **Authorized official phone:** (662) 375-8813

## Contact information

- **Practice address:** 108 N. COURT SQUARE, SUMNER, MS 38957
- **Practice address phone:** (662) 375-8813
- **Practice address fax:** (662) 375-8883
- **Mailing address:** 108 N. COURT SQUARE, SUMNER, MS 38957
- **Mailing address phone:** (662) 375-8813
- **Mailing address fax:** (662) 375-8883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | E-5254 | MS | Yes |

## Other

- **Enumeration date:** 05/10/2007
- **Last updated:** 09/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00030049 | — | MS |