Healthcare Provider Details

I. General information

NPI: 1457465411
Provider Name (Legal Business Name): QUALITY DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 02/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 HIGHWAY 82 W
GREENWOOD MS
38930-5030
US

IV. Provider business mailing address

513 HIGHWAY 82 W
GREENWOOD MS
38930-5030
US

V. Phone/Fax

Practice location:
  • Phone: 662-453-8070
  • Fax: 662-453-0017
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberCS02605011
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LINDA EARNEST
Title or Position: MGR
Credential:
Phone: 662-453-8070