Organization
SERVICE REXALL DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WHITE (OWNER)
(601) 847-2323
Entity
Organization
Contact information
Practice address
3069 SIMPSON HIGHWAY 13, MENDENHALL, MS 39114-3077
(601) 847-2323
(601) 847-4199
Mailing address
3069 SIMPSON HIGHWAY 13, MENDENHALL, MS 39114-3077
(601) 847-2323
(601) 847-4199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00554
MS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00045106
—
MS
05
—
00090034
—
MS
01
—
2043308
PK
—
Enumeration date
07/14/2006
Last updated
11/18/2025
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