Organization
RUSSELLS MR DISCOUNT DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM B RUSSELL RPH (OWNER PHARMACIST)
(662) 834-1154
Entity
Organization
Contact information
Practice address
334 DEPOT STREET, LEXINGTON, MS 39095-3607
(662) 834-1154
(662) 834-0681
Mailing address
334 DEPOT STREET, LEXINGTON, MS 39095-3607
(662) 834-1154
(662) 834-0681
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
R06886
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330451
—
MS
Enumeration date
04/25/2006
Last updated
12/08/2009
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