Long's Drug Store is a health care provider in Belzoni, MS. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||110 E Jackson St, Belzoni, MS 39038-3611, US|
|Practice Location Phone||662-247-1695|
|Practice Location Fax|
|Legal Business Name||LONG'S DRUG STORE|
|Enumeration Date ?||Jul 3, 2006|
|Last Update Date ?||Jul 9, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Pharmacist||Pharmacy Service Providers||E06579||Mississippi|
|Provider Id||Issuer State||Issuer Type||Issuer|
|0712170001||Mississippi||Medicare Id-type Unspecified|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Long's Drug Store's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mr. Earsel Roy Long (RPH)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||662-247-1695|