Organization
CORNER DRUG STORE OF MAGNOLIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY RIMES CPHT (OWNER)
(601) 783-2321
Entity
Organization
Contact information
Practice address
101 W RAILROAD AVE N, MAGNOLIA, MS 39652-2835
(601) 783-2321
(601) 783-2497
Mailing address
101 W RAILROAD AVE N, MAGNOLIA, MS 39652-2835
(601) 783-2321
(601) 783-2497
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00146011
MS
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440568
—
MS
Enumeration date
03/05/2007
Last updated
12/21/2023
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