Lee's Drug Store

NPI 1215140967 - Pharmacist - 183500000X

NPI Details
NPI 1215140967
Enumeration Date 05/08/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY THOMAS GREGORY
Position OWNER
Phone (601) 694-2191
Fax (601) 792-4003
Practice Location
404 MAIN AVE.
NEWHEBRON MS, 39140-0097, US
Phone (601) 694-2191
Fax (601) 792-4003
Business Location
28 LIPSEY
P.O. BOX 819
PRENTISS MS, 39474-0819, US
Phone (601) 792-2193
Fax (601) 792-4003
Toxanomy
Taxonomy Code 183500000X
License State Mississippi
License Number E-7347
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According to our database, Lee's Drug Store NPI is 1215140967, taxonomy code is 183500000X and license number is E-7347, license state is located at Mississippi. Lee's Drug Store physically located at 404 Main Ave., Newhebron MS, 39140-0097. NPI Number 1033115704 has the healthcare provider type.

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1215140967 NPI number is provided on an as is basis without warranty of any kind. 1215140967 is maintained by the National Plan & Provider Enumeration System. The contents of Lee's Drug Store are for informational purposes only.