Organization
HENRICH DRUG STORE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THOMAS RPH (PRES/PHARMACIST)
(662) 834-2842
Entity
Organization
Contact information
Practice address
210 COURT SQ, LEXINGTON, MS 39095-3628
(662) 834-2842
Mailing address
210 COURT SQ, LEXINGTON, MS 39095-3628
(662) 834-2842
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
00351
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030536
—
MS
01
—
2505165
NABP
MS
Enumeration date
07/11/2006
Last updated
08/22/2020
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