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Organization
SENATOBIA CITY DRUG CO INC
Active
Organization
SENATOBIA CITY DRUG CO INC
Active
Other names
Senatobia City Drug Co Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN BARHAM RPH (OWNER)
(662) 562-8042
Entity
Organization
Contact information
Practice address
122 NORFLEET DR, SENATOBIA, MS 38668-2220
(662) 562-8042
(662) 562-0644
Mailing address
122 NORFLEET DR, SENATOBIA, MS 38668-2220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
00121011
MS
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030821
—
MS
05
—
00440236
—
MS
01
—
2507056
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
11/21/2008
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