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Organization

TUNICA QUALITY DRUGS, INC

Active
Other names
TUNICA QUALITY DRUGS
Organization subpart
No

Provider details

NPI number
Authorized official
DWIGHT SOREY (VICE PRESIDENT)
(662) 363-1540
Entity
Organization

Contact information

Practice address
1068 HIGHWAY 61 N, TUNICA, MS 38676
(662) 363-1540
(662) 363-6706
Mailing address
PO BOX 1229, TUNICA, MS 38676-1229
(662) 363-1540
(662) 363-6706

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
01141011
MS
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0034721
MS
01
2044319
PK
Enumeration date
12/27/2006
Last updated
06/30/2014
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