# MEDCENTER DISCOUNT PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDCENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548374507
- **Authorized official:** JONATHAN STYRON RPH (PRESIDENT)
- **Authorized official phone:** (601) 849-3393

## Contact information

- **Practice address:** 360 SIMPSON HIGHWAY 149 STE 100, MAGEE, MS 39111-3840
- **Practice address phone:** (601) 849-3393
- **Practice address fax:** (601) 849-3808
- **Mailing address:** 360 SIMPSON HIGHWAY 149 STE 100, MAGEE, MS 39111-3840
- **Mailing address phone:** (601) 849-3393
- **Mailing address fax:** (601) 849-3808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 02149 | MS | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 12/18/2016