Organization
BOONES PHARMACY INC
Active
Other names
BOONE'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BOONE (PRES)
(601) 795-4566
Entity
Organization
Contact information
Practice address
937 S MAIN ST, POPLARVILLE, MS 39470-3111
(601) 795-4566
(601) 795-4571
Mailing address
937 S MAIN ST, POPLARVILLE, MS 39470-3111
(601) 795-4566
(601) 795-4571
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00935/1.1
MS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000040311
—
MS
05
—
00039543
—
MS
01
—
2043395
PK
—
Enumeration date
08/18/2006
Last updated
09/17/2025
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