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Organization

SUMNER DRUG STORE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SPENCER HUDSON (PHARMACIST)
(662) 375-8813
Entity
Organization

Contact information

Practice address
108 N. COURT SQUARE, SUMNER, MS 38957
(662) 375-8813
(662) 375-8883
Mailing address
108 N. COURT SQUARE, SUMNER, MS 38957
(662) 375-8813
(662) 375-8883

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
E-5254
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00030049
MS
Enumeration date
05/10/2007
Last updated
09/29/2025
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