Provider Demographics
NPI:1700924792
Name:PEOPLES DRUGS CO
Entity Type:Organization
Organization Name:PEOPLES DRUGS CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFC MNGR
Authorized Official - Prefix:
Authorized Official - First Name:CHANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HABA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-256-5662
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:AMORY
Mailing Address - State:MS
Mailing Address - Zip Code:38821-0056
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:117 MAIN ST N
Practice Address - Street 2:
Practice Address - City:AMORY
Practice Address - State:MS
Practice Address - Zip Code:38821-3416
Practice Address - Country:US
Practice Address - Phone:662-256-8844
Practice Address - Fax:662-256-5593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MS6463336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2501927OtherOTHER ID NUMBER-COMMERCIAL NUMBER
MS0033570Medicaid
2501927OtherOTHER ID NUMBER