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Organization

TABOR DRUGS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY MARTHA TABOR (PRESIDENT/PHARMACIST)
(662) 773-5363
Entity
Organization

Contact information

Practice address
104 W MAIN ST, LOUISVILLE, MS 39339-2620
(662) 773-5363
(662) 773-9951
Mailing address
104 WEST MAIN STREET, LOUISVILLE, MS 39339-2620
(662) 773-5363
(662) 773-9951

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00572/01.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00034533
MS
01
2505254
NABP NUMBER
MS
Enumeration date
10/03/2006
Last updated
04/16/2015
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