Provider Demographics
NPI:1205849288
Name:FRENCH'S PHARMACY, INC.
Entity Type:Organization
Organization Name:FRENCH'S PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:601-732-8821
Mailing Address - Street 1:365 S FOURTH ST
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:MS
Mailing Address - Zip Code:39117-3407
Mailing Address - Country:US
Mailing Address - Phone:601-732-8821
Mailing Address - Fax:601-732-8842
Practice Address - Street 1:365 S FOURTH ST
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:MS
Practice Address - Zip Code:39117-3407
Practice Address - Country:US
Practice Address - Phone:601-732-8821
Practice Address - Fax:601-732-8842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS01531/01..1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00030326Medicaid
MS2512413OtherNCPD NUMBER
MS00030326Medicaid