Organization
CANTON DISCOUNT DRUGS LTC
Active
Parent organization
CANTON DISCOUNT DRUGS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANTON DISCOUNT DRUGS INC
Authorized official
RANDALL STRONG R.PH. (PHARMACIST)
(601) 859-3827
Entity
Organization
Contact information
Practice address
726 E PEACE ST, CANTON, MS 39046-4731
(601) 859-3827
(601) 859-3829
Mailing address
726 E PEACE ST, CANTON, MS 39046-4731
(601) 859-3827
(601) 859-3829
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094684
—
MS
Enumeration date
12/28/2018
Last updated
12/28/2018
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