King & McNulty LLC
Organization Active NPI Community/Retail Pharmacy · Gloster, MS
NPI 1104901339 · NPPES record last updated Feb 22, 2016
Key facts
- NPI
- 1104901339
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 06673 (MS)
- Legal business name
- KING & MCNULTY LLC
- Practice address
- 434 B South Captian Gloster Dr
Gloster, MS 39638 - Phone
- (601) 225-7907
- Fax
- (601) 225-7906
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
Authorized official
- Name
- James Hollingsworth, RPH
- Title
- Phcst
- Phone
- (601) 225-7907
Corporate family (same tax ID) 1
Practitioners 1
National Provider Directory
- Tax ID family
- Dixon Discount Pharmacy Gloster Discount Pharmacy
Locations
434 N Captain Gloster Dr
#B
Gloster, MS 39638
Phone (601) 225-7907
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 06673 | MS | Yes |
Addresses
Primary practice location
434 B South Captian Gloster Dr
Gloster, MS 39638
Mailing address
PO Box 370
Gloster, MS 39638-0370
Phone (601) 225-7907
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047225 | Other | PK | |
| 00639091 | Medicaid | MS |
Other names
- DIXONS DISCOUNT PHARMACY
Other providers in Gloster, MS
- Ashley Dillon
- Downtown Drug LLC
- Field Memorial Community Hospital
- James Warren Hollingsworth
- Vivian Yvette Johnson
- King and McNulty, LLC
- King Louis Chambers LLC.
- James C Leak
- Medical Care Transportation Group of Mississippi LLC
- Keisha Norman
All providers in Gloster, MS · Community/Retail Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.