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Organization

COOLEY DRUG INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES K COOLEY RPH (PHARMACIST AND OWNER)
(601) 735-4022
Entity
Organization

Contact information

Practice address
310 MISSISSIPPI DR, WAYNESBORO, MS 39367-2810
(601) 735-2227
(601) 735-0391
Mailing address
310 MISSISSIPPI DR, WAYNESBORO, MS 39367-2810
(601) 735-2227
(601) 735-0391

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01659011
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00090027
MS
05
00440940
MS
Enumeration date
02/26/2007
Last updated
10/12/2007
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