Organization
POWELL DRUGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H POWELL RPH (OWNER)
(601) 797-3881
Entity
Organization
Contact information
Practice address
519 MAIN STREET, MOUNT OLIVE, MS 39119-0249
(601) 797-3881
(601) 797-4624
Mailing address
PO BOX 249, 519 MAIN ST, MOUNT OLIVE, MS 39119-0249
(601) 797-3881
(601) 797-4624
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
00552011
MS
3336C0003X
Community/Retail Pharmacy
Primary
00552011
MS
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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