Provider Demographics
NPI:1952495459
Name:SAV-ON-DRUGS OF COLUMBIA, INC
Entity Type:Organization
Organization Name:SAV-ON-DRUGS OF COLUMBIA, INC
Other - Org Name:SAV-ON-DRUGS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-736-6321
Mailing Address - Street 1:345 BROAD ST
Mailing Address - Street 2:P.O. BOX 163
Mailing Address - City:COLUMBIA
Mailing Address - State:MS
Mailing Address - Zip Code:39429-2964
Mailing Address - Country:US
Mailing Address - Phone:601-736-6321
Mailing Address - Fax:601-736-6253
Practice Address - Street 1:345 BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MS
Practice Address - Zip Code:39429-2964
Practice Address - Country:US
Practice Address - Phone:601-736-6321
Practice Address - Fax:601-736-6253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00034126Medicaid
MS00034126Medicaid