Healthcare Provider Details

I. General information

NPI: 1861534992
Provider Name (Legal Business Name): MR DISCOUNT DRUGS OF FOREST, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 W THIRD ST
FOREST MS
39074-4107
US

IV. Provider business mailing address

339 W THIRD ST
FOREST MS
39074-4107
US

V. Phone/Fax

Practice location:
  • Phone: 601-469-3242
  • Fax: 601-469-5933
Mailing address:
  • Phone: 601-469-3242
  • Fax: 601-469-5933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number03550
License Number StateMS

VIII. Authorized Official

Name: MR. JOHN RICHARD HUNT
Title or Position: PRESIDENT
Credential: RPH
Phone: 601-469-3242