Organization
SOUTHWEST DISCOUN T DRUGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE KEITH GUY RPH (PRESIDENT)
(601) 684-4541
Entity
Organization
Contact information
Practice address
1220 LASALLE ST, MCCOMB, MS 39648-5158
(601) 684-4541
(601) 684-4003
Mailing address
1220 LASALLE ST, MCCOMB, MS 39648-5158
(601) 684-4541
(601) 684-4003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
01536101
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030179
—
MS
Enumeration date
02/12/2007
Last updated
08/25/2021
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