Organization
QUITMAN DRUGS LLC
Active
Other names
Quitman Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN W VOWELL JR. (OWNER)
(601) 776-2146
Entity
Organization
Contact information
Practice address
205 N ARCHUSA AVE, QUITMAN, MS 39355-2416
(601) 776-2146
(601) 776-5752
Mailing address
PO BOX 3, QUITMAN, MS 39355-0003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01354/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030254
—
MS
Enumeration date
02/24/2010
Last updated
02/25/2010
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