Organization
NORTHLAUREL DISCOUNT DRUGS, INC.
Active
Other names
Quinn Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L. HICKS, III PHARMACIST (MANAGER)
(601) 642-6023
Entity
Organization
Contact information
Practice address
3160 AUDUBON DR, LAUREL, MS 39440-1926
(601) 426-2370
(601) 519-0194
Mailing address
3160 AUDUBON DR, LAUREL, MS 39440-1926
(601) 426-2370
(601) 519-0194
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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