Organization
STANLEY DISCOUNT DRUGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY K STANLEY RPH (PRESIDENT/OWNER)
(601) 735-2513
Entity
Organization
Contact information
Practice address
804 SPRING ST, WAYNESBORO, MS 39367-2422
(601) 735-2513
(601) 735-1333
Mailing address
804 SPRING ST, WAYNESBORO, MS 39367-2422
(601) 735-2513
(601) 735-1333
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030443
—
MS
05
—
07573840
—
MS
01
—
2507777
NCPDP
—
Enumeration date
10/13/2006
Last updated
09/28/2007
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