# STANLEY DISCOUNT DRUGS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821188475
- **Authorized official:** MR. LARRY K STANLEY RPH (PRESIDENT/OWNER)
- **Authorized official phone:** (601) 735-2513

## Contact information

- **Practice address:** 804 SPRING ST, WAYNESBORO, MS 39367-2422
- **Practice address phone:** (601) 735-2513
- **Practice address fax:** (601) 735-1333
- **Mailing address:** 804 SPRING ST, WAYNESBORO, MS 39367-2422
- **Mailing address phone:** (601) 735-2513
- **Mailing address fax:** (601) 735-1333

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 09/28/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00030443 | — | MS |
| 05 | — | 07573840 | — | MS |
| 01 | — | 2507777 | NCPDP | — |