Organization
STATE LINE DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CHARLES SNYDER R,PH (OWNER)
(601) 394-8264
Entity
Organization
Contact information
Practice address
194 MAIN ST, STATE LINE, MS 39362-9600
(601) 848-7866
Mailing address
PO BOX 159, STATE LINE, MS 39362-0159
(601) 848-7866
(601) 848-7346
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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