Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SHELBY DRUG CO INC HWY 61 SOUTH
Active
Organization
SHELBY DRUG CO INC HWY 61 SOUTH
Active
Other names
QUITMAN DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD H HAYNES RPH (OWNER/PHARM)
(662) 326-3505
Entity
Organization
Contact information
Practice address
1026 MARTIN LUTHER KING DR, MARKS, MS 38646-1832
(662) 326-3505
(662) 326-6916
Mailing address
1026 MARTIN LUTHER KING DR, MARKS, MS 38646-1832
(662) 326-3505
(662) 326-6916
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
01675/1.1
MS
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00090345
—
MS
01
—
2044766
PK
—
Enumeration date
11/20/2006
Last updated
01/15/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers