Organization
HAMMACK DRUGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM D CHANCELLOR RPH (OWNER)
(601) 776-3711
Entity
Organization
Contact information
Practice address
101 W DONALD ST, QUITMAN, MS 39355-2013
(601) 776-3711
(601) 776-6311
Mailing address
101 A WEST DONALD STREET, QUITMAN, MS 39355
(601) 776-3711
(601) 776-6311
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E7339
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330540
—
MS
Enumeration date
04/12/2007
Last updated
10/10/2017
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