Organization
PEOPLE'S DRUG STORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F BOVE RPH (OWNER)
(601) 636-5214
Entity
Organization
Contact information
Practice address
1521 WASHINGTON ST, VICKSBURG, MS 39180-3539
(601) 636-5214
(601) 636-5272
Mailing address
1521 WASHINGTON ST, VICKSBURG, MS 39180-3539
(601) 636-5214
(601) 636-5272
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00285/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440696
—
MS
Enumeration date
09/28/2006
Last updated
02/06/2008
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