CITY DRUGS OF CRYSTAL SPRINGS, INC.
113 Bo Bo Dr
Crystal Springs, MS 39059
601-892-4121
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers - Pharmacy - Long Term Care Pharmacy | MS | 01756/1.1 |
Y | 3336C0003X | Suppliers - Pharmacy | MS | 01756/01.1 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP NUMBER | 2501624 | MS | OTHER |
00030165 | MS | MEDICAID |