Organization
KENS DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH DALE HARRELSON RPH (PHARMACIST-OWNER)
(662) 494-4748
Entity
Organization
Contact information
Practice address
504 W MAIN ST STE 1, WEST POINT, MS 39773-2759
(662) 494-4748
(662) 494-2565
Mailing address
504 W MAIN ST STE 1, WEST POINT, MS 39773-2759
(662) 494-4748
(662) 494-2565
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0202501.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00091456
—
MS
Enumeration date
03/28/2007
Last updated
08/12/2008
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