CLINT'S PHARMACY INC
Suppliers at Brookway Blvd, Brookhaven, MS

License number
Mississippi 3336C0003X
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: MR. CLINT EUGENE BANE III
Title: OWNER/PHARMACIST
Phone: (601) 833-3160
Address
Address
515 Brookway Blvd, Brookhaven, MS 39601
National Provider ID: 1245554559
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Clint's Pharmacy, Inc

515 Brookway Blvd, Brookhaven, MS 39601

Industry:
Ret Drugs/Sundries
Doing business as:
Clints Pharmacy Inc
State ID:
958786
Pharmacists:
Clint Bane Iii (Incorporator), 2411 Bailey Dr NW, Brookhaven, MS 39601,Clint Bane (Director, President, Secretary, Treasurer, Owner, Pharmacist, Principal), 2411 Bailey Dr NW, Brookhaven, MS 39601,Sherman Cutrer (Director Of Pharmacy),...
Agent:
Iii Bane,2411 Bailey Dr NW, Brookhaven, MS 39601 (Physical)

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