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Macon City Drug Store, Inc.
Long Term Care Pharmacy in Macon, Mississippi
NPI 1912104415

Macon City Drug Store, Inc. is a Long Term Care Pharmacy based in Macon, MS and is specialized in Long Term Care Pharmacy. Macon City Drug Store, Inc. practices in Macon, MS. The NPI Number for Macon City Drug Store, Inc. is 1912104415 and holds a License No. 0012501.1 (Mississippi).

The current practice location address for Macon City Drug Store, Inc. is 3281 Jefferson St, Macon, MS and can be reached out via phone at 662-726-5143 and via fax at 662-726-5183.

Location: 3281 Jefferson St, Macon, MS, 39341-0424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912104415
Provider Name
Macon City Drug Store, Inc.
Credential
Provider Entity Type
Organization
Address
3281 Jefferson St, Macon, MS, 39341-0424
Phone Number
662-726-5143
Fax Number
662-726-5183
Provider Enumeration Date
06/28/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00440507 01 MS MEDICAID DME #
2505367 01 MS NABP #
00039888 05 MS
institution
Provider Business Practice Location Address Details
Address
3281 Jefferson St
City
Macon
State
Mississippi
Zip
39341-2279
Phone Number
662-726-5143
Fax Number
662-726-5183
person
Provider Business Mailing Address Details
Address
3281 Jefferson St
City
Macon
State
Mississippi
Zip
39341-2279
Phone Number
662-726-5143
Fax Number
662-726-5183
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
0012501.1 (Mississippi)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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