# SPEIGHA HEALTH, INCORPORATED

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

## Provider details

- **NPI number:** 1740385129
- **Authorized official:** MRS. ALISA B SMITH RPH (PHARMACIST IN CHARGE)
- **Authorized official phone:** (601) 384-2383

## Contact information

- **Practice address:** 100 MAIN ST, BUDE, MS 39630
- **Practice address phone:** (601) 384-2383
- **Practice address fax:** (601) 384-1650
- **Mailing address:** PO BOX 129, BUDE, MS 39630-0129
- **Mailing address phone:** (601) 384-2383
- **Mailing address fax:** (601) 384-1650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 00593/01.1 | MS | — |
| 3336C0003X | Community/Retail Pharmacy | 00593/01.1 | MS | Yes |
| 3336L0003X | Long Term Care Pharmacy | 00593/01.1 | MS | — |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 06/21/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00091936 | — | MS |
| 01 | — | 640538755 | BCBS | MS |