Healthcare Provider Details

I. General information

NPI: 1558638411
Provider Name (Legal Business Name): FRENCH'S PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2011
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 AIRPORT RD
FOREST MS
39074-4032
US

IV. Provider business mailing address

365 S 4TH ST
MORTON MS
39117-3407
US

V. Phone/Fax

Practice location:
  • Phone: 601-469-1418
  • Fax:
Mailing address:
  • Phone: 601-732-8821
  • Fax: 601-732-8842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberF09779
License Number StateMS

VIII. Authorized Official

Name: MR. DAVID L. FRENCH
Title or Position: PRESIDENT
Credential: RPH.
Phone: 601-732-8821