Organization
SPEIGHA HEALTH, INCORPORATED
Active
Other names
PEOPLES DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALISA B SMITH RPH (PHARMACIST IN CHARGE)
(601) 384-2383
Entity
Organization
Contact information
Practice address
100 MAIN ST, BUDE, MS 39630
(601) 384-2383
(601) 384-1650
Mailing address
PO BOX 129, BUDE, MS 39630-0129
(601) 384-2383
(601) 384-1650
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
00593/01.1
MS
3336C0003X
Community/Retail Pharmacy
Primary
00593/01.1
MS
3336L0003X
Long Term Care Pharmacy
00593/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00091936
—
MS
01
—
640538755
BCBS
MS
Enumeration date
09/13/2006
Last updated
06/21/2019
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