Organization
GRIFFIN DRUGS, INC.
Active
Other names
Vital Care of Southwest Mississippi
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD GRIFFIN (PRESIDENT)
(601) 684-3355
Entity
Organization
Contact information
Practice address
119 W PRESLEY BLVD, MCCOMB, MS 39648-5534
(601) 684-3355
(601) 684-3476
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(601) 482-7420
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01609/01.1
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
01609-01.1
MS
333600000X
Pharmacy
01609/01.1
MS
3336C0003X
Community/Retail Pharmacy
01609/01.1
MS
3336H0001X
Home Infusion Therapy Pharmacy
01609/01.1
MS
3336L0003X
Long Term Care Pharmacy
01609/01.1
MS
3336M0002X
Mail Order Pharmacy
01609/01.1
MS
3336S0011X
Specialty Pharmacy
01609/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030338
—
MS
05
—
00040019
—
ME
Enumeration date
07/11/2006
Last updated
01/31/2008
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