Organization
PEARSON DISCOUNT DRUGS
Active
Other names
Hometown Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN S KILGORE (PRESIDENT)
(662) 456-4630
Entity
Organization
Contact information
Practice address
1113 HIGHWAY 278 E, AMORY, MS 38821-5627
(662) 256-2955
(662) 256-2944
Mailing address
1113 HIGHWAY 278 E, AMORY, MS 38821-5627
(662) 256-2955
(662) 256-2944
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06731/02.0
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00045092
—
MS
Enumeration date
05/19/2006
Last updated
04/02/2024
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