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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