Provider Demographics
NPI:1659008951
Name:MCGUFFEE DRUGS INC
Entity Type:Organization
Organization Name:MCGUFFEE DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:601-847-2511
Mailing Address - Street 1:102 MAIN ST N
Mailing Address - Street 2:
Mailing Address - City:MENDENHALL
Mailing Address - State:MS
Mailing Address - Zip Code:39114-3562
Mailing Address - Country:US
Mailing Address - Phone:601-847-2511
Mailing Address - Fax:601-847-0931
Practice Address - Street 1:102 MAIN ST N
Practice Address - Street 2:
Practice Address - City:MENDENHALL
Practice Address - State:MS
Practice Address - Zip Code:39114-3562
Practice Address - Country:US
Practice Address - Phone:601-847-2511
Practice Address - Fax:601-847-0931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00032981Medicaid