Organization
LAB DISCOUNT DRUGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN E. HUTTO R.PH. (PRESIDENT)
(601) 735-4444
Entity
Organization
Contact information
Practice address
923 WAYNE ST, WAYNESBORO, MS 39367-2571
(601) 735-4444
(601) 735-5885
Mailing address
923 WAYNE ST, WAYNESBORO, MS 39367-2571
(601) 735-4444
(601) 735-5885
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
01624/01.1
MS
3336H0001X
Home Infusion Therapy Pharmacy
01624/01.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030358
—
MS
05
—
100230047
—
AL
Enumeration date
10/24/2006
Last updated
10/05/2012
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