Palace Sav-Rex #638

LBN: Controlex Enterprises, Inc.
Palace Sav-Rex #638 is an health care organization with primary practice located at 641 Delmas Ave , Pascagoula MS 39567-4226. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Controlex Enterprises, Inc. can be contacted via phone (228) 769-6362, or through Cannon, Modena Starr via phone (228) 769-7067.

Contact Information

Primary practice address
641 Delmas Ave Pascagoula MS 39567-4226
Phone: (228) 769-6362
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Modena Starr
Phone: (228) 769-7067

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 05009/01.2

Profile Details

NPI number 1912148362
LBN Legal business name Controlex Enterprises, Inc.
DBA Doing business as Palace Sav-Rex #638
Authorized official Cannon, Modena Starr
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2009
Last updated Mar 16th, 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 1912148362 NPPES
Mississippi MEDICAID 00330593
Mississippi Other 2520434

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