<Unavail>

LBN: Calverts Drug Store Llc
<Unavail> is an health care organization with primary practice located at 2561 Pass Rd Ste A, Biloxi MS 39531-2125. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Calverts Drug Store Llc can be contacted via phone (228) 388-1411, or through Payne, Thomas via phone (228) 257-9334.

Contact Information

Primary practice address
2561 Pass Rd Ste A Biloxi MS 39531-2125
Phone: (228) 388-1411
Fax: (228) 388-1484
Website:
Map and Directions
Authorized official contact:
Name: Payne, Thomas
Phone: (228) 257-9334

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 00420/01.1 Mississippi

Profile Details

NPI number 1750409835
LBN Legal business name Calverts Drug Store Llc
DBA Doing business as <Unavail>
Authorized official Payne, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated May 4th, 2009 - about 17 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 1750409835 NPPES
Other 2502210 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 00030643 NCPDP PROVIDER IDENTIFICATION NUMBER

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