Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thirteenth Avenue Pharmacy

Organization Community/Retail Pharmacy · NPI 1689898579

Thirteenth Avenue Pharmacy is a Community/Retail Pharmacy in Laurel, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007

Practice location Address checks out

216 S 13th Ave
Laurel, MS 39440-4226
Phone: (601) 428-7257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 01527 (MS)

Record details

NPI number1689898579
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Mauldin — Owner Pharmacist · (601) 428-7257
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address216 S 13th Ave, Laurel, MS 39440-4226

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