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Organization

HAGGARD DRUG STORE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARVIN CAREY JONES R.PH. (PRESIDENT PHARMACIST)
(662) 624-8361
Entity
Organization

Contact information

Practice address
301 3RD ST, CLARKSDALE, MS 38614-4307
(662) 624-8361
(662) 624-5678
Mailing address
301 3RD ST, CLARKSDALE, MS 38614-4307
(662) 624-8361
(662) 624-5678

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00411/01.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00032212
MS
Enumeration date
10/17/2006
Last updated
08/22/2020
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