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Contact Information

COLONIAL DISCOUNT DRUGS
1017 MISSION 66
VICKSBURG, MS39183-2753
 Phone: 601-638-5521
 Fax: 601-638-5522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for COLONIAL DISCOUNT DRUGS · (Female)

NPI # 1467485839
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2006
Last updated 12/14/2010 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # E7063
  • MS Medicaid 00030232
  • MS Other 2507587 NABP/NCPDP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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