Organization
WOODS DRUG STORE INC
Active
Other names
MAIN STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR BAILEY RPH (CO OWNER PHARMACIST)
(662) 647-5541
Entity
Organization
Contact information
Practice address
315 W MAIN ST, CHARLESTON, MS 38921-2232
(662) 647-5541
(662) 647-5546
Mailing address
315 W MAIN ST, CHARLESTON, MS 38921-2232
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00528
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035173
—
MS
01
—
2502727
OTHER ID NUMBER
—
Enumeration date
10/14/2005
Last updated
12/03/2007
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