<Unavail>

LBN: Advantage Pharmacy
<Unavail> is an health care organization with primary practice located at 6375 U S Highway 98 Suite 50, Hattiesburg MS 39402-7410. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Advantage Pharmacy can be contacted via phone (601) 268-1422, or through Beach, Glenn via phone (601) 268-1422.

Contact Information

Primary practice address
6375 U S Highway 98 Suite 50 Hattiesburg MS 39402-7410
Phone: (601) 268-1422
Fax: (601) 268-1424
Website:
Map and Directions
Authorized official contact:
Name: Beach, Glenn
Phone: (601) 268-1422

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 07726011 Mississippi
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1629235882
LBN Legal business name Advantage Pharmacy
DBA Doing business as <Unavail>
Authorized official Beach, Glenn
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2008
Last updated Apr 7th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629235882 NPPES
Other 2047542 PK

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