Canton Discount Drugs LTC

Organization Active NPI Long Term Care Pharmacy · Canton, MS

NPI 1003388240 · NPPES record last updated Dec 28, 2018

Key facts

NPI
1003388240
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
CANTON DISCOUNT DRUGS LTC
Practice address
726 E Peace St
Canton, MS 39046-4731
Phone
(601) 859-3827
Fax
(601) 859-3829
NPI assigned
Dec 28, 2018
Organization subpart
Yes
Parent organization (as reported)
CANTON DISCOUNT DRUGS INC

Authorized official

Name
Randall Strong, R.PH.
Title
Pharmacist
Phone
(601) 859-3827

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Canton Discount Drugs Inc (3 organizations share this tax ID)
Part of
Canton Discount Drugs Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

726 E Peace St
Canton, MS 39046-4731

Mailing address

726 E Peace St
Canton, MS 39046-4731
Phone (601) 859-3827

Other identifiers

IdentifierTypeStateIssuer
00094684MedicaidMS

Other providers in Canton, MS

All providers in Canton, MS · Long Term Care Pharmacy in Mississippi

Sources for this page

Verify at the official NPI Registry.