Healthcare Provider Details

I. General information

NPI: 1952229882
Provider Name (Legal Business Name): MEDS ON ALCORN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 ALCORN DR
CORINTH MS
38834-9359
US

IV. Provider business mailing address

111 ALCORN DR
CORINTH MS
38834-9359
US

V. Phone/Fax

Practice location:
  • Phone: 662-286-6991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DANIEL HINTON
Title or Position: PHARMACIST
Credential: PHARM.D.
Phone: 662-415-9146