# JOHNS' DISCOUNT DRUGS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720084148
- **Authorized official:** MR. JAMES S STEWART (OWNER)
- **Authorized official phone:** (601) 794-6701

## Contact information

- **Practice address:** 117 SHELBY SPEIGHTS DRIVE, PURVIS, MS 39475-0219
- **Practice address phone:** (601) 794-6701
- **Practice address fax:** (601) 794-5550
- **Mailing address:** P. O. BOX 219, 117 SHELBY SPEIGHTS DRIVE, PURVIS, MS 39475-0219
- **Mailing address phone:** (601) 794-6701
- **Mailing address fax:** (601) 794-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 00917 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | 00917 | MS | — |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 03/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00037311 | — | MS |