Organization
BANE DRUGS INC
Active
Other names
BANE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY CASE (PHARMACIST)
(601) 833-1922
Entity
Organization
Contact information
Practice address
360 W MONTICELLO ST, BROOKHAVEN, MS 39601-3206
(601) 833-1922
(601) 833-0245
Mailing address
360 W MONTICELLO ST, BROOKHAVEN, MS 39601-3206
(601) 833-1922
(601) 833-0245
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00402011
MS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030198
—
MS
05
—
1243876
—
LA
01
—
2050625
PK
—
Enumeration date
07/30/2006
Last updated
06/18/2014
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