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Contact Information

CITY DRUG STORE,INC
100 W. WASHINGTON ST
HOLLANDALE, MS38748-0426
 Phone: 662-827-5561
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for CITY DRUG STOREINC · (Female)

NPI # 1558455907
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2006
Last updated 09/19/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 00115/01.1
  • MS Medicaid 00030902
  • MS Other 2504290 NABP
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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