Healthcare Provider Details

I. General information

NPI: 1205991528
Provider Name (Legal Business Name): TRI - X DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 08/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

881 HIGHWAY 198
BEAUMONT MS
39423-2070
US

IV. Provider business mailing address

PO BOX 677
BEAUMONT MS
39423-0677
US

V. Phone/Fax

Practice location:
  • Phone: 601-784-3313
  • Fax: 601-784-3310
Mailing address:
  • Phone: 601-784-3313
  • Fax: 601-784-3310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number01718/1.1
License Number StateMS

VIII. Authorized Official

Name: LARRY WOZENCRAFT
Title or Position: VP
Credential:
Phone: 601-784-3313