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Organization
MARION DISCOUNT DRUGS
Active
Organization
MARION DISCOUNT DRUGS
Active
Other names
Marion Discount Drugs LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY TINGLE RPH (PHARMACIST-IN-CHARGE)
(601) 485-2700
Entity
Organization
Contact information
Practice address
5332 DALE DRIVE, MARION, MS 39342
(601) 485-2700
(601) 485-2822
Mailing address
5332 DALE DRIVE, MARION, MS 39342
(601) 485-2700
(601) 485-2822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08658
MS
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
10563/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05676721
—
MS
01
—
2588703
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/21/2012
Last updated
02/17/2015
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