Organization
SPENCER'S DRUG
Active
Other names
Spencer's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREADWELL HARVEY SPENCER R. PH (OWNER, PHARMACIST)
(662) 756-4650
Entity
Organization
Contact information
Practice address
107 W FLOYCE ST, RULEVILLE, MS 38771-3923
(662) 756-4650
(662) 756-2533
Mailing address
107 W FLOYCE ST, RULEVILLE, MS 38771-3923
(662) 756-4650
(662) 756-2533
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
E-3513
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00034355
—
MS
Enumeration date
12/04/2006
Last updated
08/22/2020
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