Organization
PICAYUNE DRUG CO. NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW L. FAILLA R.PH (PRESIDENT)
(601) 273-0042
Entity
Organization
Contact information
Practice address
3310 HIGHWAY 11 N, PICAYUNE, MS 39466-2000
(601) 798-4846
(601) 798-4825
Mailing address
3310 HIGHWAY 11 N, PICAYUNE, MS 39466-2000
(601) 798-4846
(601) 798-4825
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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