Healthcare Provider Details

I. General information

NPI: 1275643207
Provider Name (Legal Business Name): DUTCH PHARMACIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 N LEHMBERG RD
COLUMBUS MS
39702-3224
US

IV. Provider business mailing address

1245 N LEHMBERG RD
COLUMBUS MS
39702-3224
US

V. Phone/Fax

Practice location:
  • Phone: 662-329-9060
  • Fax: 662-329-9061
Mailing address:
  • Phone: 662-329-9060
  • Fax: 662-329-9061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JOSEPH GILLIS
Title or Position: OWNER
Credential:
Phone: 662-327-5052