Organization
TERRY DISCOUNT DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMBERT LANE (OWNER)
(601) 878-5841
Entity
Organization
Contact information
Practice address
128 CUNNINGHAM AVE, TERRY, MS 39170-0037
(601) 878-5841
(601) 878-5841
Mailing address
PO BOX 37, TERRY, MS 39170-0037
(601) 878-5841
(601) 878-9238
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
011400177
MS
3336C0003X
Community/Retail Pharmacy
Primary
—
MS
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030421
—
MS
01
—
2508488
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
11/23/2009
Update your record
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