Provider Demographics
NPI:1558638411
Name:FRENCH'S PHARMACY, INC.
Entity Type:Organization
Organization Name:FRENCH'S PHARMACY, INC.
Other - Org Name:FRENCH'S PHARMACY OF FOREST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:601-732-8821
Mailing Address - Street 1:365 S 4TH 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 1:514 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:MS
Practice Address - Zip Code:39074-4032
Practice Address - Country:US
Practice Address - Phone:601-469-1418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSF09779333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSF09779OtherSTATE BOARD OF PHARMACY