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CANOVAS CITY DRUG STORE NPI 1831231851


NPI Information

NPI: 1831231851
Provider Name: CANOVAS CITY DRUG STORE

Doing Business As: CITY DRUG STORE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
616 MAIN ST
WOODVILLE, MS
ZIP 39669
Phone: (601) 888-3333
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CANOVAS CITY DRUG STORE is a community/retail pharmacy pharmacy in Woodville, MS. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CANOVAS CITY DRUG STORE NPI is 1831231851. The provider is registered as an organization entity type.
The provider Is Doing Business As City Drug Store.

The provider's business location address is:

616 MAIN ST
WOODVILLE, MS
ZIP 39669-706
Phone: (601) 888-3333
Fax: (601) 888-6336

The provider's authorized official is Charles Conova .
The authorized official title is President and has the following contact phone number (601) 888-3333.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 3/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy01762/1.1MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100030063MEDICAIDMISSISSIPPI
21250686MEDICAIDLOUISIANA
32043600OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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