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Contact Information

BOONEVILLE DISCOUNT DRUGS INC
417A NORTH SECOND STREET
BOONEVILLE, MS38829
 Phone: 662-728-7781
 Fax:
 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 BOONEVILLE DISCOUNT DRUGS INC

NPI # 1871688457
LBN Legal business name BOONEVILLE DISCOUNT DRUGS INC
Authorized official JOSEPH DUCKWORTH - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MS License # 00694
MS Medicaid 00037443
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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