Organization
LOCKE DRUG STORE INC
Active
Other names
LOCKE DRUG STORE INC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BYRD RPH (PIC OWNER)
(662) 837-7177
Entity
Organization
Contact information
Practice address
410 E WALNUT ST, RIPLEY, MS 38663-2112
(662) 837-7177
(662) 837-7719
Mailing address
410 E WALNUT ST, RIPLEY, MS 38663-2112
(662) 837-7177
(662) 837-7719
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00504011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030030
—
MS
01
—
2506941
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
03/15/2012
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