Clarkdale Pharmacy And Gifts

LBN: Clarkdale Pharmacy And Gifts Llc
Clarkdale Pharmacy And Gifts is an health care organization with primary practice located at 6935C Hwy 145 , Meridian MS 39301. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clarkdale Pharmacy And Gifts Llc can be contacted via phone (601) 553-0668, or through Johnson, Daniel via phone (601) 938-5323.

Contact Information

Primary practice address
6935C Hwy 145 Meridian MS 39301
Phone: (601) 553-0668
Fax: (601) 553-3048
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Daniel
Phone: (601) 938-5323

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 14215/1.1 Mississippi

Profile Details

NPI number 1831580778
LBN Legal business name Clarkdale Pharmacy And Gifts Llc
DBA Doing business as Clarkdale Pharmacy And Gifts
Authorized official Johnson, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2015
Last updated Jul 6th, 2016 - about 10 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 1831580778 NPPES
Other 2150263 PK
MEDICAID 00873551 PK

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