Organization
RXS OKOLONA LLC
Active
Other names
Super Sav-On-Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU COX (MANAGER)
(662) 447-5400
Entity
Organization
Contact information
Practice address
203 S CHURCH ST, OKOLONA, MS 38860-1608
(662) 447-5400
Mailing address
203 S CHURCH ST, OKOLONA, MS 38860-1608
(662) 447-5400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07975/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2587535
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/24/2008
Last updated
02/03/2010
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