Organization
COX-BLYTHE DRUG COMPANY
Active
Other names
COX BLYTHE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVIS (PHARMACIST AND OWNER)
(662) 728-5732
Entity
Organization
Contact information
Practice address
122 W COLLEGE ST, BOONEVILLE, MS 38829-3410
(662) 728-5732
(662) 728-5756
Mailing address
122 W COLLEGE ST, BOONEVILLE, MS 38829-3410
(662) 728-7332
(662) 728-5756
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
00212
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2050622
PK
—
Enumeration date
01/17/2007
Last updated
02/28/2017
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