Organization
JOHN T DRESSLER
Active
Other names
MAIN DRUG CO
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE BARTON (OFFICE INSURANCE)
(601) 947-8168
Entity
Organization
Contact information
Practice address
5199 MAIN ST, LUCEDALE, MS 39452-6542
(601) 947-8168
(601) 947-7848
Mailing address
5199 MAIN ST, LUCEDALE, MS 39452-6542
(601) 947-8168
(601) 947-7848
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0016001
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330065
—
MS
01
—
2043288
PK
—
Enumeration date
02/08/2007
Last updated
10/28/2015
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