Organization
POLKS CROSSGATES DISCOUNT DRUGS INC
Active
Other names
POLK'S DISCOUNT DRUGS # 4
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW L HUBBARD (MANGER)
(601) 992-4450
Entity
Organization
Contact information
Practice address
1866 SPILLWAY RD, BRANDON, MS 39047-6063
(601) 992-4466
(601) 992-4415
Mailing address
1866 SPILLWAY RD, BRANDON, MS 39047-6063
(601) 992-4466
(601) 992-4415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
02279
MS
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030406
—
MS
05
—
01402218
—
MS
Enumeration date
07/02/2006
Last updated
03/19/2025
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