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Organization
COMMUNITY DISCOUNT PHARMACY INC
Active
Organization
COMMUNITY DISCOUNT PHARMACY INC
Active
Other names
COMMUNITY DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK VINES RPH (PRESIDENT)
(662) 562-5268
Entity
Organization
Contact information
Practice address
305 NORFLEET DR, SENATOBIA, MS 38668-2205
(662) 562-5268
(662) 562-6136
Mailing address
305 NORFLEET DR, SENATOBIA, MS 38668-2205
(662) 562-5268
(662) 562-6136
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
01282011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00095117
—
MS
01
—
2510902
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/26/2006
Last updated
08/06/2010
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