Organization
BOONEVILLE DISCOUNT DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH WILLIAM DUCKWORTH RPH (PHARMACIST IN CHARGE)
(662) 728-7781
Entity
Organization
Contact information
Practice address
417A NORTH SECOND STREET, BOONEVILLE, MS 38829
(662) 728-7781
Mailing address
P.O BOX 330, BOONEVILLE, MS 38829
(662) 728-7781
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00694
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00037443
—
MS
Enumeration date
10/03/2006
Last updated
08/22/2020
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