Organization
SHIELDS DRUGS INC
Active
Other names
SERVICE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY SHIELDS BSP RPH (OWNER/ PRESIDENT)
(601) 853-4611
Entity
Organization
Contact information
Practice address
680 HIGHWAY 51, STE G, RIDGELAND, MS 39157-2103
(601) 853-4611
(601) 853-0521
Mailing address
680 HIGHWAY 51, STE G, RIDGELAND, MS 39157-2103
(601) 853-4611
(601) 853-0521
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
03009/1.1
MS
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330163
—
MS
01
—
2045451
PK
—
Enumeration date
11/27/2006
Last updated
02/03/2016
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