# MAGNOLIA DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952932212
- **Authorized official:** MARTIN CROTTS PHARMD (PHARMACIST IN CHARGE/OWNER)
- **Authorized official phone:** (662) 988-7030

## Contact information

- **Practice address:** 1757 HIGHWAY 178 W STE B, MYRTLE, MS 38650-9233
- **Practice address phone:** (662) 988-7030
- **Practice address fax:** (662) 988-7014
- **Mailing address:** 1757 HIGHWAY 178 W STE B, MYRTLE, MS 38650-9233
- **Mailing address phone:** (662) 988-7030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2020
- **Last updated:** 04/30/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07726090 | — | MS |