Organization
SENATOBIA CITY DRUG CO INC
Active
Other names
Senatobia City Drug Co Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN BARHAM RPH (OWNER)
(662) 562-8042
Entity
Organization
Contact information
Practice address
122 NORFLEET DR, SENATOBIA, MS 38668-2220
(662) 562-8042
(662) 562-0644
Mailing address
122 NORFLEET DR, SENATOBIA, MS 38668-2220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00121011
MS
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030821
—
MS
05
—
00440236
—
MS
01
—
2507056
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
11/21/2008
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