Organization
DOWNTOWN DRUG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WARREN HOLLINGSWORTH P.D. (PHARMACIST/MANAGER)
(601) 225-7333
Entity
Organization
Contact information
Practice address
129 MAIN STREET, GLOSTER, MS 39638
(601) 225-7333
(601) 225-7332
Mailing address
PO BOX 974, GLOSTER, MS 39638-0974
(601) 225-7333
(601) 225-7332
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07707
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07707
BOARD OF PHARMACY
MS
Enumeration date
04/11/2008
Last updated
04/11/2008
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