Organization
HOLLIS DISCOUNT PHARMACY, INC
Active
Other names
HOLLIS DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY L TUCKER RPH (CEO/PRESIDENT)
(662) 837-7323
Entity
Organization
Contact information
Practice address
1008 CITY AVE N, RIPLEY, MS 38663-1413
(662) 837-7300
(662) 837-3600
Mailing address
1008 CITY AVE N, RIPLEY, MS 38663-1413
(662) 837-7323
(662) 837-3600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00095087
—
MS
Enumeration date
11/19/2021
Last updated
11/19/2021
Update your record
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