Tabor Drugs, Inc.
Organization Active NPI Community/Retail Pharmacy · Louisville, MS
NPI 1467546341 · NPPES record last updated Apr 16, 2015
Key facts
- NPI
- 1467546341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 00572/01.1 (MS)
- Legal business name
- TABOR DRUGS, INC.
- Practice address
- 104 W Main St
Louisville, MS 39339-2620 - Phone
- (662) 773-5363
- Fax
- (662) 773-9951
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mary Martha Tabor
- Title
- President/Pharmacist
- Phone
- (662) 773-5363
Practitioners 4
-
Candice Cefalu, PHARMD
-
Thomas Edwin Rester, RPH
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 00572/01.1 | MS | Yes |
Addresses
Primary practice location
104 W Main St
Louisville, MS 39339-2620
Mailing address
104 West Main Street
Louisville, MS 39339-2620
Phone (662) 773-5363
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00034533 | Medicaid | MS | |
| 2505254 | Other | MS | NABP NUMBER |
Other providers in Louisville, MS
- Linda Darlene Strickland
- Tiffany Strickland
- Valerie O'Briant Sullivan
- Superior Smiles, LLC
- Samuel Keith Suttle
- Mary M Tabor
- Rekeka Tate
- Stephanie Taylor
- The Columbus Orthopaedic Clinic, P.a.
- The E Robbins Company LLC
All providers in Louisville, 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 Apr 16, 2015. 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.