# SHELBY DRUG CO INC HWY 61 SOUTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHELBY DRUG COMPANY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548395825
- **Authorized official:** EDDIE ELLIS RPH (OWNER)
- **Authorized official phone:** (662) 624-2526

## Contact information

- **Practice address:** 1211 BROADWAY HWY 61 SO, SHELBY, MS 38774
- **Practice address phone:** (662) 398-7487
- **Practice address fax:** (662) 398-7109
- **Mailing address:** 1211 BROADWAY HWY 61 SO, PO BOX 1105, SHELBY, MS 38774
- **Mailing address phone:** (662) 398-7487
- **Mailing address fax:** (662) 398-7109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 00798/01.1 | MS | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 12/17/2012