Organization
BRANDON DISCOUNT DRUGS INC
Active
Other names
BRANDON DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN HARPER PHARMD (PRESIDENT/PIC)
(601) 825-2897
Entity
Organization
Contact information
Practice address
200 TAMBERLINE ST, BRANDON, MS 39042-3162
(601) 825-2897
(601) 825-4603
Mailing address
200 TAMBERLINE ST, BRANDON, MS 39042-3162
(601) 825-2897
(601) 825-4603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00203
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00035530
—
MS
01
—
2050623
PK
—
Enumeration date
11/13/2006
Last updated
02/20/2017
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