Healthcare Provider Details

I. General information

NPI: 1669556700
Provider Name (Legal Business Name): CT STAMPS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MARION AVE
MCCOMB MS
39648-2706
US

IV. Provider business mailing address

200 MARION AVE
MCCOMB MS
39648-2706
US

V. Phone/Fax

Practice location:
  • Phone: 601-684-7621
  • Fax: 601-684-8250
Mailing address:
  • Phone: 601-684-7621
  • Fax: 601-684-8250

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number02430/1.1
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TIM STAMPS
Title or Position: PHARMACIST IN CHARGE/ OWNER
Credential:
Phone: 601-684-7621