Provider Demographics
NPI:1770519357
Name:FLORA DRUGS, INC.
Entity type:Organization
Organization Name:FLORA DRUGS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:CLAY
Authorized Official - Last Name:CLANTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:601-879-9100
Mailing Address - Street 1:740 HIGHWAY 49 N
Mailing Address - Street 2:SUITE U
Mailing Address - City:FLORA
Mailing Address - State:MS
Mailing Address - Zip Code:39071-9347
Mailing Address - Country:US
Mailing Address - Phone:601-879-9100
Mailing Address - Fax:601-879-8108
Practice Address - Street 1:740 HIGHWAY 49 N
Practice Address - Street 2:SUITE U
Practice Address - City:FLORA
Practice Address - State:MS
Practice Address - Zip Code:39071-9347
Practice Address - Country:US
Practice Address - Phone:601-879-9100
Practice Address - Fax:601-879-8108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS05959/01.13336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS2521614OtherNCPDP (FORMERLY NABP)
MS05959/01.1OtherMS PHARMACY PERMIT
MS08579312Medicaid
MSBF8476118OtherDEA NUMBER
MS05959/01.1OtherMS PHARMACY PERMIT