Healthcare Provider Details

I. General information

NPI: 1700924792
Provider Name (Legal Business Name): PEOPLES DRUGS CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 MAIN ST N
AMORY MS
38821-3416
US

IV. Provider business mailing address

PO BOX 56
AMORY MS
38821-0056
US

V. Phone/Fax

Practice location:
  • Phone: 662-256-8844
  • Fax: 662-256-5593
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number646
License Number StateMS

VIII. Authorized Official

Name: CHANDA HABA
Title or Position: OFC MNGR
Credential:
Phone: 662-256-5662