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Organization

UNION DISCOUNT PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBIN TIMOTHY BAUER R.PH. (PHARMACIST/OWNER)
(601) 774-2772
Entity
Organization

Contact information

Practice address
25025 HWY 15, UNION, MS 39365
(601) 774-2772
(601) 774-8779
Mailing address
25025 HWY 15, UNION, MS 39365
(601) 774-2772
(601) 774-8779

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0542101.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0330675
MS
Enumeration date
12/05/2006
Last updated
05/17/2011
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