Macon City Drug Store, Inc.
NPI #1912104415 in Macon, Mississippi
Provider Information
- NPI Number
- 1912104415
- Entity Type
- Organization
- Organization Name
- Macon City Drug Store, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MACON CITY DRUG STORE, INC.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 28, 2007
- Last Updated
- Jan 26, 2024
Practice Location
- Address
- 3281 JEFFERSON ST
- City
- Macon
- State
- Mississippi
- ZIP Code
- 39341-2279
- Phone
- (662) 726-5143
Authorized Official
- Name
- BECKY GENE WATT
- Title
- DME PROVIDER
- Phone
- (662) 726-5143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Durable Medical Equipment & Medical Supplies |
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