Organization
RAYMOND DRUG STORE,INC.
Active
Other names
RAYMOND DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND MARK BAUER R.PH (OWNER)
(601) 857-8773
Entity
Organization
Contact information
Practice address
112 W.MAIN ST., RAYMOND, MS 39154-1205
(601) 857-8773
(601) 857-8773
Mailing address
PO BOX 1205, 112 W. MAIN ST, RAYMOND, MS 39154-1205
(601) 857-8773
(601) 857-8773
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
0082001.1
MS
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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