Organization
KING & MCNULTY LLC
Active
Other names
DIXONS DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HOLLINGSWORTH RPH (PHCST)
(601) 225-7907
Entity
Organization
Contact information
Practice address
434 B SOUTH CAPTIAN GLOSTER DR, GLOSTER, MS 39638
(601) 225-7907
(601) 225-7906
Mailing address
PO BOX 370, GLOSTER, MS 39638-0370
(601) 225-7907
(601) 225-7906
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
06673
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00639091
—
MS
01
—
2047225
PK
—
Enumeration date
10/26/2006
Last updated
02/22/2016
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