Provider Demographics
NPI:1942548383
Name:COUGLE HOLDINGS INC
Entity Type:Organization
Organization Name:COUGLE HOLDINGS INC
Other - Org Name:BJ'S FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOYD
Authorized Official - Middle Name:KENWAY
Authorized Official - Last Name:COUGLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:662-694-9489
Mailing Address - Street 1:605 S JACKSON ST STE A
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-3353
Mailing Address - Country:US
Mailing Address - Phone:662-324-7112
Mailing Address - Fax:662-324-7114
Practice Address - Street 1:605 S JACKSON ST STE A
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-3353
Practice Address - Country:US
Practice Address - Phone:662-324-7112
Practice Address - Fax:662-324-7114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-18
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSF120243336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy