Healthcare Provider Details

I. General information

NPI: 1275183188
Provider Name (Legal Business Name): DABBS DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2019
Last Update Date: 11/23/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24968 MS HWY 15
MATHISTON MS
39752-6904
US

IV. Provider business mailing address

24968 MS HIGHWAY 15
MATHISTON MS
39752-6904
US

V. Phone/Fax

Practice location:
  • Phone: 662-634-3061
  • Fax: 662-634-3062
Mailing address:
  • Phone: 662-634-3061
  • Fax: 662-634-3062

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: MRS. APRIL SPEARMAN DABBS
Title or Position: PRESIDENT
Credential: PHARMD
Phone: 662-258-4422