Borroums Drug Store
Organization Active NPI Community/Retail Pharmacy · Corinth, MS
NPI 1184833741 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1184833741
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0020201.1 (MS)
- Legal business name
- BORROUMS DRUG STORE
- Practice address
- 604 E Waldron St
Corinth, MS 38834-4863 - Phone
- (662) 286-3361
- Fax
- (662) 286-3361
- NPI assigned
- May 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Camille Borroum Mitchell, PHARMACIST
- Title
- Partner
- Phone
- (662) 286-3361
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Borroum'S Drug Store Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 0020201.1 | MS | Yes |
Addresses
Primary practice location
604 E Waldron St
Corinth, MS 38834-4863
Mailing address
604 E Waldron St
Corinth, MS 38834-4863
Phone (662) 286-3361
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00030473 | Medicaid | MS |
Other providers in Corinth, MS
- Walker Daniel Bobo
- Kelli Boggan
- Shaniece Bond
- Michael Edward Bonds
- April Boren
- Borroums Rexall Drug Store Inc
- Barbara Christine Bowling
- Bruce K. Boyd
- Beth Boyette
- Rene Bredel
All providers in Corinth, 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 Aug 22, 2020. 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.