# MAGNOLIA MEDSHOPPE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shepard's Discount Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629828793
- **Authorized official:** KRISTYN BUMPERS PHARM.D. (PHARMACIST)
- **Authorized official phone:** (601) 441-4400

## Contact information

- **Practice address:** 431 BROAD ST, COLUMBIA, MS 39429-3056
- **Practice address phone:** (601) 736-8212
- **Mailing address:** PO BOX 148, COLUMBIA, MS 39429-0148
- **Mailing address phone:** (601) 736-8212
- **Mailing address fax:** (601) 736-3415

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2024
- **Last updated:** 05/07/2025