Provider Demographics
NPI:1851883789
Name:AMORY DISCOUNT PHARMACY, LLC
Entity Type:Organization
Organization Name:AMORY DISCOUNT PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-256-8165
Mailing Address - Street 1:60379 COTTON GIN PORT RD STE B
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-7204
Mailing Address - Country:US
Mailing Address - Phone:866-532-3965
Mailing Address - Fax:662-256-8186
Practice Address - Street 1:60379 COTTON GIN PORT RD STE B
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-7204
Practice Address - Country:US
Practice Address - Phone:662-256-8165
Practice Address - Fax:662-256-8186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-06
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy