Organization
POLKS CROSSGATES DISCOUNT DRUGS INC
Active
Other names
Polk's Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE MURPHY (MANAGER)
(228) 215-1020
Entity
Organization
Contact information
Practice address
6008 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-2649
(228) 215-1020
(228) 215-1931
Mailing address
6008 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-2649
(228) 215-1020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
14610/1.2
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09201042
—
MS
01
—
2155655
PK
—
Enumeration date
12/01/2015
Last updated
04/11/2017
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