Organization Name: | LAB DISCOUNT DRUGS, INC. |
NPI Number: | 1043399272 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WARREN E. HUTTO (PRESIDENT) |
Mailing Address: | 923 Wayne St Waynesboro |
State: | MS US |
Postal Code: | 393672571 |
Phone Number: | 6017354444 |
Fax Number: | 6017355885 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 01624/01.1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |