Sumrall Drug Store Llc
Community/Retail Pharmacy
1109 Hwy 42, Sumrall
Mississippi, 39482-0246
601-758-4243 601-758-4999
Sumrall Drug Store Llc is a Community/Retail Pharmacy in Sumrall, Mississippi. It is located at 1109 Hwy 42, Sumrall and it's customer support contact number is 601-758-4243. The authorized person of Sumrall Drug Store Llc is Beau Haden, PHARMD who is Owner of the pharmacy and his contact number is 601-758-4243. Active license number of Sumrall Drug Store Llc is 00461011 for Community/Retail Pharmacy in Mississippi. Sumrall Drug Store Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Sumrall Drug Store Llc 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.
Pharmacy Details:
Sumrall Drug Store Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Sumrall Drug Store Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1109 Hwy 42, Sumrall,
Mississippi, 39482-0246 |
| Phone: | 601-758-4243 |
| Fax: | 601-758-4999 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Beau Haden |
| Credentials: | PHARMD |
| Position: | Owner |
| Contact Number: | 601-758-4243 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1275613952 |
| NPI Enumeration Date: | 16 Oct, 2006 |
| NPI Last Update On: | 07 Dec, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Sumrall Drug Store Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 00461011 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0092193 | Medicaid | Mississippi | |
| 2047304 | Other | | Pk |
Medicare Enrollment:
Sumrall Drug Store Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3274779517 | O20130411000410 | Sumrall Drug Store Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 120,
Sumrall, Mississippi |
| Zip: | 39482-0120 |
| Phone Number: | -- |
Patients can reach Sumrall Drug Store Llc at
1109 Hwy 42, Sumrall, Mississippi or can
call on customer care at 601-758-4243.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.