Organization Name: | PICKLE'S DRUG STORE, INC |
NPI Number: | 1548285505 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT W PICKLE (PRESIDENT) |
Mailing Address: | 100 N Jackson St Kosciusko |
State: | MS US |
Postal Code: | 390903730 |
Phone Number: | 6622891112 |
Fax Number: | 6622895061 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0003X |
License Number: | 00214/01.1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Community/Retail Pharmacy |
Taxonomy Definition: | A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |