# LOCKE DRUG STORE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOCKE DRUG STORE INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699872523
- **Authorized official:** JAMES BYRD RPH (PIC OWNER)
- **Authorized official phone:** (662) 837-7177

## Contact information

- **Practice address:** 410 E WALNUT ST, RIPLEY, MS 38663-2112
- **Practice address phone:** (662) 837-7177
- **Practice address fax:** (662) 837-7719
- **Mailing address:** 410 E WALNUT ST, RIPLEY, MS 38663-2112
- **Mailing address phone:** (662) 837-7177
- **Mailing address fax:** (662) 837-7719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 00504011 | MS | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 03/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00030030 | — | MS |
| 01 | — | 2506941 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |