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Organization
WALLACE DRUG COMPANY INC
Active
Organization
WALLACE DRUG COMPANY INC
Active
Parent organization
WALLACE DRUG COMPANY INC DBA WALLACE DISCOUNT DRUGS
Other names
DIKETS PROFESSIONAL DRUGS
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALLACE DRUG COMPANY INC DBA WALLACE DISCOUNT DRUGS
Authorized official
JOSEPH M ROBERTSON PHARMD (OWNER)
(601) 428-4334
Entity
Organization
Contact information
Practice address
1107 JEFFERSON ST, LAUREL, MS 39440-4352
(601) 428-4334
Mailing address
PO BOX 446, LAUREL, MS 39441-0446
(601) 428-4334
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
05/03/2022
Last updated
01/20/2025
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