# PICAYUNE DRUG CO., INC.

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

## Provider details

- **NPI number:** 1922027622
- **Authorized official:** MR. ANDREW L. FAILLA R.PH. (PRESIDENT)
- **Authorized official phone:** (601) 798-4846

## Contact information

- **Practice address:** 110 HIGHWAY 11 N, PICAYUNE, MS 39466-3312
- **Practice address phone:** (601) 798-4846
- **Practice address fax:** (601) 798-4825
- **Mailing address:** 110 HIGHWAY 11 N, P.O. BOX 10, PICAYUNE, MS 39466-3312
- **Mailing address phone:** (601) 798-4846
- **Mailing address fax:** (601) 798-4825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 00937/01.1 | MS | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 12/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00030106 | — | MS |
| 05 | — | 00045164 | — | MS |
| 05 | — | 0033553 | — | MS |
| 05 | — | 09589297 | — | MS |
| 01 | — | 2506600 | NABP | MS |