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Organization
TUNICA QUALITY DRUGS, INC
Active
Organization
TUNICA QUALITY DRUGS, INC
Active
Other names
TUNICA QUALITY DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT SOREY (VICE PRESIDENT)
(662) 363-1540
Entity
Organization
Contact information
Practice address
1068 HIGHWAY 61 N, TUNICA, MS 38676
(662) 363-1540
(662) 363-6706
Mailing address
PO BOX 1229, TUNICA, MS 38676-1229
(662) 363-1540
(662) 363-6706
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
01141011
MS
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0034721
—
MS
01
—
2044319
PK
—
Enumeration date
12/27/2006
Last updated
06/30/2014
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