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Organization
FAYETTE EXPRESS PHARMACY
Active
Organization
FAYETTE EXPRESS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTY BIGNER RPH (MEMBER)
(601) 341-9812
Entity
Organization
Contact information
Practice address
1418 MAIN ST, FAYETTE, MS 39069-5754
(601) 341-9812
Mailing address
208 W PRESLEY BLVD, MCCOMB, MS 39648-5524
(601) 786-4005
(601) 786-4002
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200025638
—
MS
Enumeration date
12/16/2025
Last updated
06/09/2026
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