Provider Demographics
NPI:1699872408
Name:STRICKLANDS CASH & SAVE DISCOUNT PHARMACY INC
Entity type:Organization
Organization Name:STRICKLANDS CASH & SAVE DISCOUNT PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:601-788-6332
Mailing Address - Street 1:PO BOX 1619
Mailing Address - Street 2:
Mailing Address - City:RICHTON
Mailing Address - State:MS
Mailing Address - Zip Code:39476-1619
Mailing Address - Country:US
Mailing Address - Phone:601-788-6332
Mailing Address - Fax:601-788-6544
Practice Address - Street 1:703 N FRONT ST
Practice Address - Street 2:
Practice Address - City:RICHTON
Practice Address - State:MS
Practice Address - Zip Code:39476-2213
Practice Address - Country:US
Practice Address - Phone:601-788-6332
Practice Address - Fax:601-788-6544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MS01135/1.13336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2043609OtherPK
MS00030528Medicaid