Quitman Drugs LLC

Organization Active NPI Community/Retail Pharmacy · Quitman, MS

NPI 1669794145 · NPPES record last updated Feb 25, 2010

Key facts

NPI
1669794145
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
01354/01.1 (MS)
Legal business name
QUITMAN DRUGS LLC
Practice address
205 N Archusa Ave
Quitman, MS 39355-2416
Phone
(601) 776-2146
Fax
(601) 776-5752
NPI assigned
Feb 24, 2010
Organization subpart
No

Authorized official

Name
Mr. Allen W Vowell Jr.
Title
Owner
Phone
(601) 776-2146

National Provider Directory

Locations

205 N Archusa Ave
Quitman, MS 39355
Phone (601) 776-2146

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 01354/01.1 MS Yes

Addresses

Primary practice location

205 N Archusa Ave
Quitman, MS 39355-2416

Mailing address

PO Box 3
Quitman, MS 39355-0003

Other identifiers

IdentifierTypeStateIssuer
0030254MedicaidMS

Other names

  • Quitman Drugs Doing business as

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.