Funderburks Pharmacy Inc

LBN: Funderburks Pharmacy Inc
Funderburks Pharmacy Inc is an health care organization with primary practice located at 134 W Commerce St , Hernando MS 38632-2240. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Funderburks Pharmacy Inc can be contacted via phone (662) 429-5337, or through Sudduth, Cheryl M via phone (662) 429-5337.

Contact Information

Primary practice address
134 W Commerce St Hernando MS 38632-2240
Fax:
Website:
Authorized official contact:
Name: Sudduth, Cheryl M R.PH.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 00908/01.1 Mississippi

Profile Details

NPI number 1295703536
LBN Legal business name Funderburks Pharmacy Inc
DBA Doing business as
Authorized official Sudduth, Cheryl M R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2006
Last updated Mar 24th, 2023 - about 3 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 1295703536 NPPES
Mississippi MEDICAID 00440498
Mississippi MEDICAID 0030125

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