# BORROUMS REXALL DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Borroum's Drug Store Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437481645
- **Authorized official:** CAMILLE MITCHELL (PRESIDENT)
- **Authorized official phone:** (662) 286-3361

## Contact information

- **Practice address:** 604 E WALDRON ST, CORINTH, MS 38834-4863
- **Practice address phone:** (662) 286-3361
- **Practice address fax:** (662) 286-3362
- **Mailing address:** 604 E WALDRON ST, CORINTH, MS 38834-4863
- **Mailing address phone:** (662) 286-3361
- **Mailing address fax:** (662) 286-3362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 00202/01.1 | MS | Yes |

## Other

- **Enumeration date:** 02/12/2010
- **Last updated:** 03/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00030473 | — | MS |
| 01 | — | 2123758 | PK | — |