Freds Pharmacy Of Quitman Llc

LBN: Freds Pharmacy Of Quitman Llc
Freds Pharmacy Of Quitman Llc is an health care organization with primary practice located at 1123 Washington St , Vicksburg MS 39183-2959. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Freds Pharmacy Of Quitman Llc can be contacted via phone (601) 636-2756, or through Chambers, Rick via phone (901) 238-2477.

Contact Information

Primary practice address
1123 Washington St Vicksburg MS 39183-2959
Phone: (601) 636-2756
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chambers, Rick
Phone: (901) 238-2477

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1306102470
LBN Legal business name Freds Pharmacy Of Quitman Llc
DBA Doing business as
Authorized official Chambers, Rick
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 3rd, 2012
Last updated Sep 18th, 2012 - about 14 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 1306102470 NPPES
Mississippi MEDICAID 04807541

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