Organization
PETAL DRUG COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R RATCLIFF RPH (PHARMACIST IN CHARGE)
(601) 545-3141
Entity
Organization
Contact information
Practice address
201 OLD RICHTON RD, PETAL, MS 39465-2943
(601) 545-3141
(601) 544-7404
Mailing address
201 OLD RICHTON RD, PETAL, MS 39465-2943
(601) 545-3141
(601) 544-7404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E08925
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00033642
—
MS
01
—
2506496
NABP NUMBER
MS
Enumeration date
09/13/2006
Last updated
03/25/2024
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