# SMITH DRUGS OF BOONEVILLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smith Drugs & Home Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366083057
- **Authorized official:** MICHAEL C MURPHY (OWNER / MEMBER)
- **Authorized official phone:** (601) 859-3939

## Contact information

- **Practice address:** 100 S SECOND ST, BOONEVILLE, MS 38829-3225
- **Practice address phone:** (662) 728-5322
- **Practice address fax:** (662) 728-3187
- **Mailing address:** 195 E PEACE ST, CANTON, MS 39046-4519
- **Mailing address phone:** (601) 859-3939
- **Mailing address fax:** (601) 855-2133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/03/2019
- **Last updated:** 11/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3333 | — | MS |