Wheeler Drug Store

LBN: Decatur Drugs Inc
Wheeler Drug Store is an health care organization with primary practice located at 95 W Broad St , Decatur MS 39327-8959. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Decatur Drugs Inc can be contacted via phone (601) 635-2646, or through Boggan, Charles Austin via phone (601) 635-2646.

Contact Information

Primary practice address
95 W Broad St Decatur MS 39327-8959
Phone: (601) 635-2646
Fax: (601) 635-4039
Website:
Map and Directions
Authorized official contact:
Name: Boggan, Charles Austin RPH
Phone: (601) 635-2646

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E-6485 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1225191877
LBN Legal business name Decatur Drugs Inc
DBA Doing business as Wheeler Drug Store
Authorized official Boggan, Charles Austin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Apr 4th, 2019 - about 7 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 1225191877 NPPES
Mississippi MEDICAID 00030493

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