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Organization
SPENCER'S DRUG
Active
Organization
SPENCER'S DRUG
Active
Other names
Spencer's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREADWELL HARVEY SPENCER R. PH (OWNER, PHARMACIST)
(662) 756-4650
Entity
Organization
Contact information
Practice address
107 W FLOYCE ST, RULEVILLE, MS 38771-3923
(662) 756-4650
(662) 756-2533
Mailing address
107 W FLOYCE ST, RULEVILLE, MS 38771-3923
(662) 756-4650
(662) 756-2533
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
E-3513
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00034355
—
MS
Enumeration date
12/04/2006
Last updated
08/22/2020
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