# POLK'S CROSSGATE DISCOUNT DRUGS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** POLK'S DISCOUNT DRUGS \#5
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518997410
- **Authorized official:** RONALD SKELTON B.S. PHARMACY (MANAGER)
- **Authorized official phone:** (601) 932-8609

## Contact information

- **Practice address:** 1201 HIGHWAY 49 S, STE 2, RICHLAND, MS 39218-9425
- **Practice address phone:** (601) 932-8609
- **Practice address fax:** (601) 933-0024
- **Mailing address:** PO BOX 180038, RICHLAND, MS 39218-0038
- **Mailing address phone:** (601) 932-8609
- **Mailing address fax:** (601) 933-0024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | F02384 | MS | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 03/13/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00330041 | — | MS |
| 01 | — | 2045389 | PK | — |