Organization
KIPA INC. DBA RODGERS FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUKE KIMBRELL RODGERS RPH (OWNER)
(601) 582-8351
Entity
Organization
Contact information
Practice address
130 W CENTRAL AVE, PETAL, MS 39465-2314
(601) 582-8351
(601) 545-7342
Mailing address
130 W CENTRAL AVE, PETAL, MS 39465-2314
(601) 582-8351
(601) 545-7342
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0219301.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030167
—
MS
01
—
2516562
NCPDP
—
Enumeration date
03/01/2007
Last updated
08/22/2020
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