Sumrall Drug Store LLC
NPI #1275613952 in Sumrall, Mississippi
Provider Information
- NPI Number
- 1275613952
- Entity Type
- Organization
- Organization Name
- Sumrall Drug Store LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 16, 2006
- Last Updated
- Dec 7, 2016
Practice Location
- Address
- 1109 HWY 42
- City
- Sumrall
- State
- Mississippi
- ZIP Code
- 39482-0246
- Phone
- (601) 758-4243
Authorized Official
- Name
- BEAU HADEN, PHARMD
- Title
- OWNER
- Phone
- (601) 758-4243
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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