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Organization
POLKS CROSSGATES DISCOUNT DRUGS INC
Active
Organization
POLKS CROSSGATES DISCOUNT DRUGS INC
Active
Other names
Polk's Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE MURPHY (MANAGER)
(228) 215-1020
Entity
Organization
Contact information
Practice address
6008 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-2649
(228) 215-1020
(228) 215-1931
Mailing address
6008 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-2649
(228) 215-1020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
14610/1.2
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09201042
—
MS
01
—
2155655
PK
—
Enumeration date
12/01/2015
Last updated
04/11/2017
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