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Organization
SMITH DRUGS OF BOONEVILLE LLC
Active
Organization
SMITH DRUGS OF BOONEVILLE LLC
Active
Other names
Smith Drugs & Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C MURPHY (OWNER / MEMBER)
(601) 859-3939
Entity
Organization
Contact information
Practice address
100 S SECOND ST, BOONEVILLE, MS 38829-3225
(662) 728-5322
(662) 728-3187
Mailing address
195 E PEACE ST, CANTON, MS 39046-4519
(601) 859-3939
(601) 855-2133
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3333
—
MS
Enumeration date
10/03/2019
Last updated
11/03/2019
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