Organization
KING AND MCNULTY, LLC
Active
Other names
Dixon Discount Pharmacy, Gloster Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH S. MCNULTY III CRT (PRESIDENT)
(601) 849-4112
Entity
Organization
Contact information
Practice address
434 B SOUTH CAPTAIN GLOSTER DRIVE, GLOSTER, MS 39638
(601) 225-7907
(601) 225-7906
Mailing address
PO BOX 1100, MAGEE, MS 39111-1100
(601) 849-6440
(601) 849-7557
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
06673/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00639091
—
MS
01
—
2586228
NCPDP
—
Enumeration date
08/03/2006
Last updated
03/07/2023
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