Organization
ESSCO DISCOUNT DRUG CENTER INC
Active
Other names
ESSCO DISCOUNT DRUG CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MAX SANDERS (PRESIDENT)
(662) 746-7423
Entity
Organization
Contact information
Practice address
732 E FIFTEENTH ST, YAZOO CITY, MS 39194-2706
(662) 746-7423
(662) 746-8158
Mailing address
732 E FIFTEENTH ST, YAZOO CITY, MS 39194-2706
(662) 746-7423
(662) 746-8158
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01409
MS
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030034
—
MS
01
—
2507955
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/07/2006
Last updated
08/24/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us