# WALLACE DRUG COMPANY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WALLACE DRUG COMPANY INC DBA WALLACE DISCOUNT DRUGS
- **Other names:** DIKETS PROFESSIONAL DRUGS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710622865
- **Legal business name:** WALLACE DRUG COMPANY INC DBA WALLACE DISCOUNT DRUGS
- **Authorized official:** JOSEPH M ROBERTSON PHARMD (OWNER)
- **Authorized official phone:** (601) 428-4334

## Contact information

- **Practice address:** 1107 JEFFERSON ST, LAUREL, MS 39440-4352
- **Practice address phone:** (601) 428-4334
- **Mailing address:** PO BOX 446, LAUREL, MS 39441-0446
- **Mailing address phone:** (601) 428-4334

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2022
- **Last updated:** 01/20/2025