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Contact Information

SUMNER DRUG STORE LLC
108 N. COURT SQUARE
SUMNER, MS38957
 Phone: 662-375-8813
 Fax: 662-375-8883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SUMNER DRUG STORE LLC

NPI Number 1356555080
LBN Legal business name SUMNER DRUG STORE LLC
Authorized official SPENCER HUDSON - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2007
Last updated 09/29/2025 - About 8 months ago
Identifiers
MS License # E-5254
MS Medicaid 00030049
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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