Organization
COMMUNITY DISCOUNT PHARMACY INC
Active
Other names
COMMUNITY DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK VINES RPH (PRESIDENT)
(662) 562-5268
Entity
Organization
Contact information
Practice address
305 NORFLEET DR, SENATOBIA, MS 38668-2205
(662) 562-5268
(662) 562-6136
Mailing address
305 NORFLEET DR, SENATOBIA, MS 38668-2205
(662) 562-5268
(662) 562-6136
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01282011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00095117
—
MS
01
—
2510902
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/26/2006
Last updated
08/06/2010
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