Organization
POWELL DRUGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HOMER POWELL (OWNER/PHARMACIST)
(601) 797-3355
Entity
Organization
Contact information
Practice address
519 MAIN ST, MT. OLIVE, MS 39119
(601) 797-3881
(601) 797-4624
Mailing address
P. O. BOX 249, MT. OLIVE, MS 39119
(601) 797-3881
(601) 797-4624
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00033758
—
MS
Enumeration date
10/13/2006
Last updated
05/18/2022
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