Organization
MOSBYS DRUG STORE
Active
Other names
Mosby's Drug Store LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C MURPHY BS (OWNER/MEMBER)
(601) 859-3939
Entity
Organization
Contact information
Practice address
1301 E PEACE ST, CANTON, MS 39046-4937
(601) 859-4212
(601) 859-4260
Mailing address
195 E PEACE ST, CANTON, MS 39046-4519
(601) 859-4212
(601) 859-4260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ADDRESS
ADDRESS
MS
Enumeration date
04/24/2020
Last updated
07/09/2020
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