Organization
JONES COUNTY DRUG INC
Active
Other names
Jones County Drug Inc,
Organization subpart
No
Provider details
NPI number
Authorized official
JACK SCOGGIN (OWNER/PHARMACIST)
(601) 477-3030
Entity
Organization
Contact information
Practice address
407 HILL ST, ELLISVILLE, MS 39437-2523
(601) 477-3030
(601) 477-3131
Mailing address
407 HILL ST, ELLISVILLE, MS 39437-2523
(601) 477-3030
(601) 477-3131
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
12483
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02459747
—
MS
01
—
2154999
PK
—
Enumeration date
07/22/2013
Last updated
02/11/2016
Update your record
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