Healthcare Provider Details

I. General information

NPI: 1952910366
Provider Name (Legal Business Name): CT STAMPS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2020
Last Update Date: 07/31/2020
Certification Date: 07/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 MARION AVENUE
MCCOMB MS
39648
US

IV. Provider business mailing address

1098 SCHMIDT RD
MCCOMB MS
39648-8745
US

V. Phone/Fax

Practice location:
  • Phone: 601-248-6585
  • Fax: 601-465-0502
Mailing address:
  • Phone: 601-248-6585
  • Fax: 601-465-0502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CHARLES TIMOTHY STAMPS
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 601-248-6585