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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 STORE,INC

NPI Number 1558455907
LBN Legal business name CITY DRUG STORE,INC
Authorized official THOMAS HASSETT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 09/19/2023 - About 3 years ago
Identifiers
MS License # 00115/01.1
MS Medicaid 00030902
MS Other 2504290 NABP
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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