The Pharmacy of Quitman

Organization Active NPI Community/Retail Pharmacy · Quitman, MS

NPI 1063962371 · NPPES record last updated Oct 11, 2016

Key facts

NPI
1063962371
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
04508-01FQ (MS)
Legal business name
THE PHARMACY OF QUITMAN
Practice address
125 Main St
Quitman, MS 39355-2109
Phone
(601) 776-6282
NPI assigned
Oct 11, 2016
Organization subpart
No

Authorized official

Name
David Majure
Title
Owner
Phone
(601) 693-2655

Corporate family (same tax ID) 3

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

National Provider Directory

Tax ID family
Freds Pharmacy of Quitman LLC (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 04508-01FQ MS Yes

Addresses

Primary practice location

125 Main St
Quitman, MS 39355-2109

Mailing address

PO Box 5105
Meridian, MS 39302-5105
Phone (601) 693-2655

Other providers in Quitman, MS

All providers in Quitman, MS · Community/Retail Pharmacy in Mississippi

Sources for this page

Verify at the official NPI Registry.