Iuka Pharmacy Services LLC
Pharmacy, Community/Retail Pharmacy in Iuka, MS. Organization (NPI-2).
NPI number1043239031
StatusActive
Last updated in NPPESSep 10, 2021
Details
- NPI
- 1043239031
- Entity type
- Organization (NPI-2)
- Legal business name
- Iuka Pharmacy Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 19, 2006
- Certification date
- Sep 10, 2021
- Last updated
- Sep 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 00827011 | MS | |
| 333600000X | Pharmacy | 00827011 | MS |
Other names
- Iuka Discount Drugs (Doing Business As)
Practice location
1411 W Quitman StIuka, MS 38852-1130
Phone 662-423-9039 · Fax 662-423-9318
Mailing address
1411 W Quitman StIuka, MS 38852-1130
Phone 662-423-9039 · Fax 662-423-9318
Authorized official
Timothy Lee Griffin
Owner
6624239039
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