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Organization
DWC
Active
Organization
DWC
Active
Other names
dan's discount drugs
Organization subpart
No
Provider details
NPI number
Authorized official
PATRI E ELLIS BS (OWNER PHARMACIST)
(662) 773-7847
Entity
Organization
Contact information
Practice address
403 S CHURCH AVE, LOUISVILLE, MS 39339-2921
(662) 773-7847
Mailing address
403 S CHURCH AVE, LOUISVILLE, MS 39339-2921
(662) 773-7847
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01826.01
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030300
—
MS
Enumeration date
02/21/2007
Last updated
03/07/2023
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