Organization
TRI - X DRUGS INC
Active
Other names
BEAUMONT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY WOZENCRAFT (VP)
(601) 784-3313
Entity
Organization
Contact information
Practice address
881 HIGHWAY 198, BEAUMONT, MS 39423-2070
(601) 784-3313
(601) 784-3310
Mailing address
PO BOX 677, BEAUMONT, MS 39423-0677
(601) 784-3313
(601) 784-3310
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01718/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030261
—
MS
01
—
2050610
PK
—
Enumeration date
12/27/2006
Last updated
08/22/2014
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