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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

NPI Number 1467485839
LBN Legal business name COLONIAL DISCOUNT DRUGS
Authorized official J. THOMAS - (PHAMACIST/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2006
Last updated 12/14/2010 - About 15 years ago
Identifiers
MS License # E7063
MS Medicaid 00030232
MS Other 2507587 NABP/NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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