Organization
LONG BEACH DRUGS, LLC
Active
Other names
Long Beach Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREL ANN MALLEY RPH (OWNER)
(228) 822-9868
Entity
Organization
Contact information
Practice address
20168 LOVERS LN, LONG BEACH, MS 39560-2502
(228) 822-9868
(228) 822-2312
Mailing address
20168 LOVERS LN, LONG BEACH, MS 39560-2502
(228) 822-9868
(228) 822-2312
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
06270
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04689397
—
MS
Enumeration date
02/07/2007
Last updated
08/22/2020
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