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Long's Drug Store

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.

physician-icon Basic Information

Practice Location 110 E Jackson St, Belzoni, MS 39038-3611, US
Practice Location Phone662-247-1695
Practice Location Fax
Legal Business NameLONG'S DRUG STORE
NPI ?1598794216
Entity TypeOrganization
Enumeration Date ? Jul 3, 2006
Last Update Date ? Jul 9, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Long's Drug Store

SpecialtySpecializationLicenseLicense State
Pharmacist E06579Mississippi

legacy-id-icon Legacy Provider IDs of Long's Drug Store

Provider IdIssuer StateIssuer TypeIssuer
0712170001MississippiMedicare Id-type Unspecified
00030008MississippiMedicaid
00045124MississippiMedicaid

official-icon Authorized Official of Long's Drug Store

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/PositionOWNER
Authorized Official Phone Number662-247-1695