Organization
DUNCAN'S PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM D JACKSON R.PH. (OWNER & PRESIDENT)
(662) 223-4727
Entity
Organization
Contact information
Practice address
28271 HIGHWAY 15, WALNUT, MS 38683-8930
(662) 223-4727
(662) 223-5899
Mailing address
28271 HIGHWAY 15, WALNUT, MS 38683-8930
(662) 223-4727
(662) 223-5899
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01789-01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040322
MS MEDICAID DME #
MS
Enumeration date
03/22/2007
Last updated
08/22/2020
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