Organization
BYHALIA DRUG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD HUGHES MCCULLOUGH JR. RPH (PARTNER PHARMACIST)
(662) 838-2521
Entity
Organization
Contact information
Practice address
2438 CHURCH ST, BYHALIA, MS 38611
(662) 838-2521
(662) 838-4151
Mailing address
PO BOX 407, BYHALIA, MS 38611
(662) 838-2521
(662) 838-4151
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
01322011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094862
—
MS
Enumeration date
09/29/2006
Last updated
10/17/2007
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