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Organization
BOONEVILLE DISCOUNT DRUGS INC
Active
Organization
BOONEVILLE DISCOUNT DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH WILLIAM DUCKWORTH RPH (PHARMACIST IN CHARGE)
(662) 728-7781
Entity
Organization
Contact information
Practice address
417A NORTH SECOND STREET, BOONEVILLE, MS 38829
(662) 728-7781
Mailing address
P.O BOX 330, BOONEVILLE, MS 38829
(662) 728-7781
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00694
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00037443
—
MS
Enumeration date
10/03/2006
Last updated
08/22/2020
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