Organization
POLKS CROSSGATES DISCOUNT DRUGS INC
Active
Parent organization
POLKS CROSSGATES DISCOUNT DRUGS INC
Other names
polks specialty homecare
Organization subpart
Yes
Provider details
NPI number
Legal business name
POLKS CROSSGATES DISCOUNT DRUGS INC
Authorized official
KIMBERLY DEAR (MANAGER)
(601) 992-4450
Entity
Organization
Contact information
Practice address
310 CHURCH ST, PORT GIBSON, MS 39150-2108
(601) 992-4450
Mailing address
310 CHURCH ST, PORT GIBSON, MS 39150-2108
(601) 992-4450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MS
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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