Borroum'S Drug Store Inc.

LBN: Borroums Rexall Drug Store Inc
Borroum'S Drug Store Inc. is an health care organization with primary practice located at 604 E Waldron St , Corinth MS 38834-4863. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Borroums Rexall Drug Store Inc can be contacted via phone (662) 286-3361, or through Mitchell, Camille via phone (662) 286-3361.

Contact Information

Primary practice address
604 E Waldron St Corinth MS 38834-4863
Fax: (662) 286-3362
Website:
Authorized official contact:
Name: Mitchell, Camille

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 00202/01.1 Mississippi

Profile Details

NPI number 1437481645
LBN Legal business name Borroums Rexall Drug Store Inc
DBA Doing business as Borroum'S Drug Store Inc.
Authorized official Mitchell, Camille
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2010
Last updated Mar 1st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437481645 NPPES
Other 2123758 PK
MEDICAID 00030473 PK

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