Organization
MR DISCOUNT NO 2 OF MERIDIAN INC
Active
Other names
MR DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
DON WALDRON RPH (RPH/OWNER)
(601) 483-3784
Entity
Organization
Contact information
Practice address
4832 POPLAR SPRINGS DR, MERIDIAN, MS 39305-2624
(601) 483-3784
(601) 483-1659
Mailing address
4832 POPLAR SPRINGS DR, MERIDIAN, MS 39305-2624
(601) 483-3784
(601) 483-1659
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01338/1.2
MS
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00095214
—
MS
01
—
2044351
PK
—
Enumeration date
02/14/2007
Last updated
07/19/2018
Update your record
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