Organization
BORROUMS DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAMILLE BORROUM MITCHELL PHARMACIST (PARTNER)
(662) 286-3361
Entity
Organization
Contact information
Practice address
604 E WALDRON ST, CORINTH, MS 38834-4863
(662) 286-3361
(662) 286-3361
Mailing address
604 E WALDRON ST, CORINTH, MS 38834-4863
(662) 286-3361
(662) 286-3361
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0020201.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030473
—
MS
Enumeration date
05/21/2007
Last updated
08/22/2020
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