Organization
WILSONS DRUG CO INC
Active
Other names
WILSON-HOLDER DRUG COMPANY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY HOLDER RPH (REGISTERED PHARMACIST OWNER)
(601) 442-7611
Entity
Organization
Contact information
Practice address
636 FRANKLIN ST, NATCHEZ, MS 39120-3312
(601) 442-7611
(601) 442-0664
Mailing address
636 FRANKLIN ST, NATCHEZ, MS 39120-3312
(601) 442-7611
(601) 442-0664
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01732011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035122
—
MS
01
—
2050514
PK
—
Enumeration date
08/31/2006
Last updated
01/29/2016
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