Organization
KINGS DISCOUNT PHARMACY
Active
Other names
KINGS DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KING RPH (OWNER)
(601) 384-2898
Entity
Organization
Contact information
Practice address
44 HWY 98 E, BUDE, MS 39630-0134
(601) 384-2898
(601) 384-4326
Mailing address
PO BOX 134, BUDE, MS 39630-0134
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01357
MS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00095311
—
MS
01
—
2044350
PK
—
Enumeration date
08/10/2006
Last updated
09/20/2016
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