National Provider Identifier Database

GILLIS DRUGSTORE
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

GILLIS DRUGSTORE
219 STATE STREET
MCCOMB, MS39648
Phone: 601-684-2621
Fax: 601-684-2622
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for GILLIS DRUGSTORE

NPI Number 1316955362
Legal business name
LBN
GILLIS DRUGSTORE
Authorized official TOM ASSAF - (PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 08/04/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 00972
  • MS Medicaid: 00030161
  • MS Other: 00972 BOARD OF PHARMACY PERMIT

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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