# COMMUNITY DISCOUNT PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Discount Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487159299
- **Authorized official:** MOLLIE KIDDER SPENCER PHARMD (OWNER)
- **Authorized official phone:** (662) 562-5268

## Contact information

- **Practice address:** 100 N FRONT ST, SENATOBIA, MS 38668-2136
- **Practice address phone:** (662) 562-5268
- **Practice address fax:** (662) 562-6136
- **Mailing address:** 305 NORFLEET DR, SENATOBIA, MS 38668-2205
- **Mailing address phone:** (662) 562-5268
- **Mailing address fax:** (662) 562-6136

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 01282 | MS | Yes |

## Other

- **Enumeration date:** 03/26/2018
- **Last updated:** 12/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00095117 | — | MS |
| 01 | — | 2175855 | PK | — |