Organization
JOHNS' DISCOUNT DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY LEWIS WAITS (PHARMACIST)
(601) 796-4761
Entity
Organization
Contact information
Practice address
410 W MAIN AVE, LUMBERTON, MS 39455-2437
(601) 796-4761
(601) 796-4764
Mailing address
410 W MAIN AVE, LUMBERTON, MS 39455-2437
(601) 796-4761
(601) 796-4764
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
920IJL
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0032581
—
MS
Enumeration date
02/26/2007
Last updated
03/04/2022
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