# SPENCER'S DRUG

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Spencer's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851459812
- **Authorized official:** MR. TREADWELL HARVEY SPENCER R. PH (OWNER, PHARMACIST)
- **Authorized official phone:** (662) 756-4650

## Contact information

- **Practice address:** 107 W FLOYCE ST, RULEVILLE, MS 38771-3923
- **Practice address phone:** (662) 756-4650
- **Practice address fax:** (662) 756-2533
- **Mailing address:** 107 W FLOYCE ST, RULEVILLE, MS 38771-3923
- **Mailing address phone:** (662) 756-4650
- **Mailing address fax:** (662) 756-2533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | E-3513 | MS | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00034355 | — | MS |