Sumrall Drug Store LLC
NPI #1366004731 in Sumrall, Mississippi
Provider Information
- NPI Number
- 1366004731
- Entity Type
- Organization
- Organization Name
- Sumrall Drug Store LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jul 5, 2019
- Last Updated
- Oct 30, 2020
Practice Location
- Address
- 1109 HWY 42
- City
- Sumrall
- State
- Mississippi
- ZIP Code
- 39482
- Phone
- (601) 758-4243
Authorized Official
- Name
- TASHA F HADEN
- Title
- PHARMACIST/OWNER
- Phone
- (601) 758-4243
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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