Organization
CT STAMPS INC
Active
Other names
FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TIM STAMPS (PHARMACIST IN CHARGE/ OWNER)
(601) 684-7621
Entity
Organization
Contact information
Practice address
200 MARION AVE, MCCOMB, MS 39648-2706
(601) 684-7621
(601) 684-8250
Mailing address
200 MARION AVE, MCCOMB, MS 39648-2706
(601) 684-7621
(601) 684-8250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
02430/1.1
MS
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330070
—
MS
05
—
00440127
—
MS
05
—
09016102
—
MS
01
—
2517665
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/25/2006
Last updated
12/18/2012
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