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Organization
SUMRALL DRUG STORE LLC
Active
Organization
SUMRALL DRUG STORE LLC
Active
Other names
Sumrall Drug Store Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA F HADEN (PHARMACIST/OWNER)
(601) 758-4243
Entity
Organization
Contact information
Practice address
1109 HWY 42, SUMRALL, MS 39482
(601) 758-4243
(601) 758-4999
Mailing address
PO BOX 120, SUMRALL, MS 39482-0120
(601) 758-4243
(601) 758-4999
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
07/05/2019
Last updated
10/30/2020
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