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Organization

DON'S PROFESSIONAL DRUGS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAY M SCOGGIN (PRESIDENT)
(601) 477-8512
Entity
Organization

Contact information

Practice address
109 W IVY ST, ELLISVILLE, MS 39437-2637
(601) 477-8512
(601) 477-8527
Mailing address
109 W IVY ST, ELLISVILLE, MS 39437-2637
(601) 477-8512
(601) 477-8527

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E8116
MS

Other

Enumeration date
12/20/2006
Last updated
08/22/2020
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