Gautier Sav Rex #634

LBN: Controlex Enterprises, Inc.
Gautier Sav Rex #634 is an health care organization with primary practice located at 2307 Highway 90 , Gautier MS 39553-5231. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Controlex Enterprises, Inc. can be contacted via phone (228) 497-4090, or through Cannon, Modena S via phone (228) 769-7067.

Contact Information

Primary practice address
2307 Highway 90 Gautier MS 39553-5231
Phone: (228) 497-4090
Fax: (228) 762-1756
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Modena S
Phone: (228) 769-7067

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 00839/01.2 Mississippi

Profile Details

NPI number 1376628792
LBN Legal business name Controlex Enterprises, Inc.
DBA Doing business as Gautier Sav Rex #634
Authorized official Cannon, Modena S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 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 1376628792 NPPES
Mississippi MEDICAID 0091839
Mississippi Other 2503476

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