Organization
MR DISCOUNT DRUGS AT RUSH MEDICAL
Active
Other names
MR DISCOUNT DRUGS AT RUSH MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DON WALDRON RPH (OWNER)
(601) 482-8121
Entity
Organization
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9642
(601) 703-9415
Mailing address
4820 POPLAR SPRINGS DR STE A, MERIDIAN, MS 39305-2678
(601) 703-9642
(601) 703-9415
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2345012
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330006
—
MS
01
—
2045363
PK
—
Enumeration date
09/05/2006
Last updated
03/13/2014
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