# RAYMOND DRUG STORE,INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RAYMOND DRUG STORE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932314192
- **Authorized official:** MR. RAYMOND MARK BAUER R.PH (OWNER)
- **Authorized official phone:** (601) 857-8773

## Contact information

- **Practice address:** 112 W.MAIN ST., RAYMOND, MS 39154-1205
- **Practice address phone:** (601) 857-8773
- **Practice address fax:** (601) 857-8773
- **Mailing address:** PO BOX 1205, 112 W. MAIN ST, RAYMOND, MS 39154-1205
- **Mailing address phone:** (601) 857-8773
- **Mailing address fax:** (601) 857-8773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 0082001.1 | MS | Yes |

## Other

- **Enumeration date:** 05/11/2007
- **Last updated:** 08/22/2020