Organization
COLLINSVILLE DRUGS INC
Active
Other names
MR DISCOUNT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE SCRIVNER RPH (OWNER)
(601) 626-8242
Entity
Organization
Contact information
Practice address
9158 HWY 19, COLLINSVILLE, MS 39325-0175
(601) 626-8242
(601) 626-8082
Mailing address
PO BOX 175, COLLINSVILLE, MS 39325-0175
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1587/ 1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2044729
PK
—
05
—
30331
—
MS
Enumeration date
08/18/2006
Last updated
07/14/2015
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