Aps Pharmacy #801, Llc

LBN: Aps Pharmacy 801 Llc
Aps Pharmacy #801, Llc is an health care organization with primary practice located at 480 Airport Industrial Dr , Southaven MS 38671-5870. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Aps Pharmacy 801 Llc can be contacted via phone (662) 536-0384, or through Bradford, Mark via phone (662) 536-0384.

Contact Information

Primary practice address
480 Airport Industrial Dr Southaven MS 38671-5870
Phone: (662) 536-0384
Fax: (662) 536-4207
Website:
Map and Directions
Authorized official contact:
Name: Bradford, Mark
Phone: (662) 536-0384

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 0595626 Mississippi
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1336192939
LBN Legal business name Aps Pharmacy 801 Llc
DBA Doing business as Aps Pharmacy #801, Llc
Authorized official Bradford, Mark
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Jul 11th, 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 1336192939 NPPES
Mississippi MEDICAID 05908836
Mississippi Other 2120958

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