NPI
Sumrall Drug Store LLC
Doing business as Sumrall Drug Store. Phone (601) 758-4243 · Fax (601) 758-4999 · NPI 1275613952
Read from the NPPES registry on October 24, 2026.
Sumrall Drug Store pharmacy profile: phone, fax, pharmacy type, and nearby pharmacies.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-10-16
- Last updated
- 2016-12-07
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Specialties
Licenses
- License MS
- 00461011
Location
- Practice location
- 1109 Hwy 42
- City
- Sumrall MS
- Postal code
- 39482-0246
- Phone
- (601) 758-4243
- Fax
- (601) 758-4999
Organization contact
- Name
- Beau Haden
- Title
- Owner
- Phone
- (601) 758-4243
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Sumrall, MS. 80 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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