Organization
MIXON DRUG COMPANY, LLC
Active
Other names
T-D Pharmacy, INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ADAM MIXON PHARMD (PHARMACIST/OWNER)
(601) 832-8601
Entity
Organization
Contact information
Practice address
12372 HIGHWAY 49, GULFPORT, MS 39503-2741
(228) 832-1414
(228) 832-1471
Mailing address
1220 23RD ST, GULFPORT, MS 39501-3216
(601) 832-8601
(228) 864-2402
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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