Organization
KILMICHAEL DRUGS INC
Active
Other names
KILMICHAEL DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ROBINSON (PHCY MNGR)
(662) 262-4387
Entity
Organization
Contact information
Practice address
306 LAMAR AVE., KILMICHAEL, MS 39747-9732
(662) 262-4220
(662) 262-4397
Mailing address
PO BOX 213, KILMICHAEL, MS 39747-0213
(662) 262-4387
(662) 262-4397
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00225011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330197
—
MS
01
—
2504961
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
03/03/2011
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