Organization
SOUTHERN DRUGS, INC
Active
Other names
Southern Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E GABLE R.PH. (VICE PRESIDENT/PHARMACIST)
(662) 328-0833
Entity
Organization
Contact information
Practice address
1202 MAIN ST, COLUMBUS, MS 39701-5833
(662) 328-0833
(662) 328-6633
Mailing address
1202 MAIN ST, COLUMBUS, MS 39701-5833
(662) 328-0833
(662) 328-6633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-06040
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030055
—
MS
01
—
2500230
NCPDP
MS
Enumeration date
09/17/2006
Last updated
08/22/2020
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