Organization
OKOLONA DRUG CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY G MORGAN RPH (PRESIDENTPHARMACIST)
(662) 447-5471
Entity
Organization
Contact information
Practice address
210 W MAIN ST, OKOLONA, MS 38860-1425
(662) 447-5471
(662) 447-5637
Mailing address
210 W MAIN ST, OKOLONA, MS 38860-1425
(662) 447-5471
(662) 447-5637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E5837
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00092231
—
MS
Enumeration date
12/18/2006
Last updated
03/04/2011
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