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Organization
RAYMOND DRUG STORE,INC.
Active
Organization
RAYMOND DRUG STORE,INC.
Active
Other names
RAYMOND DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND MARK BAUER R.PH (OWNER)
(601) 857-8773
Entity
Organization
Contact information
Practice address
112 W.MAIN ST., RAYMOND, MS 39154-1205
(601) 857-8773
(601) 857-8773
Mailing address
PO BOX 1205, 112 W. MAIN ST, RAYMOND, MS 39154-1205
(601) 857-8773
(601) 857-8773
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0082001.1
MS
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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