Back Bay Drugs Llc

LBN: Back Bay Drugs Llc
Back Bay Drugs Llc is an health care organization with primary practice located at 10437 Lamey Bridge Rd Suite A, Diberville MS 39540-2709. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Back Bay Drugs Llc can be contacted via phone (228) 396-2228, or through Aycock, William T via phone (228) 396-2257.

Contact Information

Primary practice address
10437 Lamey Bridge Rd Suite A Diberville MS 39540-2709
Phone: (228) 396-2228
Fax: (228) 396-2257
Website:
Map and Directions
Authorized official contact:
Name: Aycock, William T R.PH.
Phone: (228) 396-2257

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1285715037
LBN Legal business name Back Bay Drugs Llc
DBA Doing business as
Authorized official Aycock, William T R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1285715037 NPPES
Mississippi MEDICAID 0330637

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