Organization
MISSISSIPPI DISCOUNT DRUGS LLC
Active
Other names
Mississippi Discount Drugs #2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C MURPHY (MEMBER)
(601) 859-3939
Entity
Organization
Contact information
Practice address
276 NISSAN PKWY STE 300, CANTON, MS 39046-7006
(601) 855-7330
(601) 855-7332
Mailing address
195 E PEACE ST, CANTON, MS 39046-4519
(601) 859-3939
(601) 855-2133
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09091/1.1
MS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2588397
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/16/2011
Last updated
08/22/2011
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