Healthcare Provider Details

I. General information

NPI: 1871092544
Provider Name (Legal Business Name): BIGNER DRUGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2018
Last Update Date: 02/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

488 MAIN ST EAST PO BOX 952
MEADVILLE MS
39653
US

IV. Provider business mailing address

PO BOX 952
MEADVILLE MS
39653-0910
US

V. Phone/Fax

Practice location:
  • Phone: 601-384-2288
  • Fax:
Mailing address:
  • Phone: 601-384-2288
  • Fax:

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: MARTY BIGNER
Title or Position: MEMBER
Credential:
Phone: 601-384-2288