Back Bay Drugs LLC
NPI #1285715037 in Diberville, Mississippi
Provider Information
- NPI Number
- 1285715037
- Entity Type
- Organization
- Organization Name
- Back Bay Drugs LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 10437 LAMEY BRIDGE RD
- Address 2
- SUITE A
- City
- Diberville
- State
- Mississippi
- ZIP Code
- 39540-2709
- Phone
- (228) 396-2228
Authorized Official
- Name
- MR. WILLIAM T AYCOCK, R.PH.
- Title
- PHARMACIST
- Phone
- (228) 396-2257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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