Organization
D AND L MED LLC
Active
Other names
OLE RIVER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY MYERS RPH (OWNER)
(601) 408-6250
Entity
Organization
Contact information
Practice address
5315 OLD HIGHWAY 11, SUITE 4, HATTIESBURG, MS 39402-6224
(601) 271-2006
(800) 716-4177
Mailing address
PO BOX 9830, SALT LAKE CITY, UT 84109-9830
(877) 540-4748
(801) 716-4872
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
07214/2.3
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03001314
—
MS
01
—
2047458
PK
—
Enumeration date
12/27/2006
Last updated
10/14/2016
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