Provider Demographics
NPI:1821009465
Name:STRICKLAND DRUGS LLC
Entity Type:Organization
Organization Name:STRICKLAND DRUGS LLC
Other - Org Name:COUNTY DISCOUNT DRUG, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-928-4482
Mailing Address - Street 1:820 HALL ST
Mailing Address - Street 2:
Mailing Address - City:WIGGINS
Mailing Address - State:MS
Mailing Address - Zip Code:39577-2100
Mailing Address - Country:US
Mailing Address - Phone:601-928-4482
Mailing Address - Fax:601-928-9980
Practice Address - Street 1:820 HALL ST
Practice Address - Street 2:
Practice Address - City:WIGGINS
Practice Address - State:MS
Practice Address - Zip Code:39577-2100
Practice Address - Country:US
Practice Address - Phone:601-928-4482
Practice Address - Fax:601-928-9980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336C0004X
MS01891/ 1.13336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0045053Medicaid
MS0030026Medicaid
2044446OtherPK
MS0030026Medicaid