Organization
COLUMBIA DISCOUNT DRUGS, INC
Active
Other names
COLUMBIA DISCOUNT DRUGS, INC
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN HIGGS (PRESIDENT)
(601) 736-1514
Entity
Organization
Contact information
Practice address
1201 HIGHWAY 13 N, COLUMBIA, MS 39429-2015
(601) 736-1514
(601) 736-1514
Mailing address
1201 HIGHWAY 13 N, COLUMBIA, MS 39429-2015
(601) 736-1514
(601) 736-1514
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01046/1.1
MS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094544
—
MS
01
—
2146508
PK
—
Enumeration date
06/11/2005
Last updated
09/30/2016
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