# RXS OKOLONA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Super Sav-On-Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376798926
- **Authorized official:** BEAU COX (MANAGER)
- **Authorized official phone:** (662) 447-5400

## Contact information

- **Practice address:** 203 S CHURCH ST, OKOLONA, MS 38860-1608
- **Practice address phone:** (662) 447-5400
- **Mailing address:** 203 S CHURCH ST, OKOLONA, MS 38860-1608
- **Mailing address phone:** (662) 447-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 07975/01.1 | MS | Yes |

## Other

- **Enumeration date:** 11/24/2008
- **Last updated:** 02/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2587535 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |