Organization
MAIN STREET DRUGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM AUSTIN (DIRECTOR)
(662) 597-1776
Entity
Organization
Contact information
Practice address
417 MAIN ST S, AMORY, MS 38821-4221
(662) 597-1776
(866) 503-1278
Mailing address
417 MAIN ST S, AMORY, MS 38821-4221
(662) 597-1776
(866) 503-1278
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
16705
MS
333600000X
Pharmacy
Primary
16705
MS
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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