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NPI Code Detail

MEDICARE: CANTON DISCOUNT DRUGS, INC.

MEDICARE: CANTON DISCOUNT DRUGS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies1584-1CCMS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629117189
Entity Type Code : Organization
Provider Name (Legal Business Name) : CANTON DISCOUNT DRUGS, INC.
Provider Business Mailing Address
First Line : 726 E PEACE ST
Second Line :
City : CANTON
State : MS
Zip : 39046-4731
Country : US
Telephone Number : 601-859-3827
Fax Number : 601-859-3829
Provider Business Practice Location Address
First Line : 726 E PEACE ST
Second Line :
City : CANTON
State : MS
Zip : 39046-4731
Country : US
Telephone Number : 601-859-3827
Fax Number : 601-859-3829
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. SHERRY F STRONG
Credential :
Telephone Number : 601-859-3827
Provider Enumeration Date : 02/05/2007
Last Update Date : 02/26/2013

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Directions to “CANTON DISCOUNT DRUGS, INC. ” Practice Location

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