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Organization
LOCKE DRUG STORE INC
Active
Organization
LOCKE DRUG STORE INC
Active
Other names
LOCKE DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BYRD RPH (PIC OWNER)
(662) 837-7177
Entity
Organization
Contact information
Practice address
410 E WALNUT ST, RIPLEY, MS 38663-2112
(662) 837-7177
(662) 837-7719
Mailing address
410 E WALNUT ST, RIPLEY, MS 38663-2112
(662) 837-7177
(662) 837-7719
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
00504011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030030
—
MS
01
—
2506941
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
03/15/2012
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