# RICK QUINN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prescription Shoppe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811906357
- **Authorized official:** MS. AMANDA ANN KETCHUM R.PH. (CHIEF PHARMACIST)
- **Authorized official phone:** (662) 286-5747

## Contact information

- **Practice address:** 504 ALCORN DR, CORINTH, MS 38834-9392
- **Practice address phone:** (662) 286-5747
- **Practice address fax:** (662) 286-5508
- **Mailing address:** 504 ALCORN DR, CORINTH, MS 38834-9392
- **Mailing address phone:** (662) 286-5747
- **Mailing address fax:** (662) 286-5508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 03051/01.1 | MS | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 11/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0330175 | — | MS |