Provider Demographics
NPI:1275183188
Name:DABBS DRUGS LLC
Entity Type:Organization
Organization Name:DABBS DRUGS LLC
Other - Org Name:DABBS PHARMACY & GIFTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:SPEARMAN
Authorized Official - Last Name:DABBS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:662-258-4422
Mailing Address - Street 1:24968 MS HIGHWAY 15
Mailing Address - Street 2:
Mailing Address - City:MATHISTON
Mailing Address - State:MS
Mailing Address - Zip Code:39752-6904
Mailing Address - Country:US
Mailing Address - Phone:662-634-3061
Mailing Address - Fax:662-634-3062
Practice Address - Street 1:24968 MS HWY 15
Practice Address - Street 2:
Practice Address - City:MATHISTON
Practice Address - State:MS
Practice Address - Zip Code:39752-6904
Practice Address - Country:US
Practice Address - Phone:662-634-3061
Practice Address - Fax:662-634-3062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS17770OtherMISSISSIPPI BOARD OF PHARMACY PERMIT
MS08727806Medicaid