# HOLLIS DISCOUNT PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HOLLIS DISCOUNT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801553367
- **Authorized official:** JIMMY L TUCKER RPH (CEO/PRESIDENT)
- **Authorized official phone:** (662) 837-7323

## Contact information

- **Practice address:** 1008 CITY AVE N, RIPLEY, MS 38663-1413
- **Practice address phone:** (662) 837-7300
- **Practice address fax:** (662) 837-3600
- **Mailing address:** 1008 CITY AVE N, RIPLEY, MS 38663-1413
- **Mailing address phone:** (662) 837-7323
- **Mailing address fax:** (662) 837-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/19/2021
- **Last updated:** 11/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00095087 | — | MS |