Sumrall Drug Store Llc in Sumrall - Community/retail Pharmacy
Sumrall Drug Store Llc - NPI 1275613952
Sumrall Drug Store Llc is a Community/retail Pharmacy in Sumrall, Mississippi. Sumrall Drug Store Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Sumrall Drug Store Llc is 1275613952. The last update date is 2016-12-07.
Sumrall Drug Store Llc's current location address is 1109 Hwy 42, Sumrall, Mississippi. You can contact this provider via phone number 6017584243 and fax number 6017584999. The mailing address for Sumrall Drug Store Llc is 1109 Hwy 42, Sumrall, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sumrall Drug Store Llc |
|---|---|
| Address | 1109 Hwy 42, Sumrall, Mississippi |
| Phone Number | 6017584243 |
| Fax Number | 6017584999 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Haden Beau |
| Credentials | PHARMD |
| Telephone Number | 6017584243 |
NPI Number Detail
| NPI Number | 1275613952 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2016-12-07 |
Provider Mailing Address Detail
| Address | 1109 Hwy 42 |
|---|---|
| City | Sumrall |
| State | Mississippi (MS) |
| Post Code | 394820246 |
| Phone Number | 6017584243 |
| Fax Number | 6017584999 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 461011 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 92193 | MS | -- | |
| 2047304 | PK |
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What is the unique 10-digit identifier code assigned to Sumrall Drug Store Llc by the Centers for Medicare & Medicaid Services?
The Sumrall Drug Store Llc has been issued the NPI (National Provider Identifier) 1275613952 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Sumrall Drug Store Llc located?
The Sumrall Drug Store Llc is located at 1109 Hwy 42, Sumrall, MS 394820246.
What is Sumrall Drug Store Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sumrall Drug Store Llc is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.
When did the Sumrall Drug Store Llc receive its 1275613952?
The Sumrall Drug Store Llc was issued its 1275613952 on 2006-10-16, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Sumrall Drug Store Llc most recently updated or revised?
The information pertaining to Sumrall Drug Store Llc, including its address, specialty, and other relevant details, was last updated or revised on 2016-12-07.