Organization
CANOVAS CITY DRUG STORE
Active
Other names
CITY DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CONOVA (PRESIDENT)
(601) 888-3333
Entity
Organization
Contact information
Practice address
616 MAIN ST, WOODVILLE, MS 39669-9706
(601) 888-3333
(601) 888-6336
Mailing address
PO BOX 486, WOODVILLE, MS 39669-0486
(601) 888-3333
(601) 888-6336
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01762/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030063
—
MS
05
—
1250686
—
LA
01
—
2043600
PK
—
Enumeration date
02/13/2007
Last updated
03/07/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up