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Organization

MCDUFFIE DRUG CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN TRAVIS HALL RPH (OWNER)
(662) 963-2367
Entity
Organization

Contact information

Practice address
174 A YOUNG AVE., NETTLETON, MS 38858-0389
(662) 963-2367
(662) 963-2392
Mailing address
PO BOX 389, NETTLETON, MS 38858-0389
(662) 963-2367
(662) 963-2392

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00489 01.1
MS

Other

Enumeration date
05/03/2007
Last updated
07/09/2008
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