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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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