Organization
SULLIVAN'S DISCOUNT DRUGS, INC
Active
Other names
Sullivan's Discount Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CHARLES HUDSON R.PH. (MANAGER)
(662) 289-3234
Entity
Organization
Contact information
Practice address
109 NORTHSIDE CTR, KOSCIUSKO, MS 39090-3254
(662) 289-3234
(662) 289-3030
Mailing address
109 NORTHSIDE CTR, KOSCIUSKO, MS 39090-3254
(662) 289-3234
(662) 289-3030
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0023301.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440359
—
MS
Enumeration date
02/06/2007
Last updated
08/22/2020
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