Gillis Drugstore

LBN: Gillis Drugstore
Gillis Drugstore is an health care organization with primary practice located at 219 State Street , Mccomb MS 39648. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Gillis Drugstore can be contacted via phone (601) 684-2621, or through Assaf, Tom E via phone (601) 684-2621.

Contact Information

Primary practice address
219 State Street Mccomb MS 39648
Phone: (601) 684-2621
Fax: (601) 684-2622
Website:
Map and Directions
Authorized official contact:
Name: Assaf, Tom E RPH
Phone: (601) 684-2621

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 00972 Mississippi

Profile Details

NPI number 1316955362
LBN Legal business name Gillis Drugstore
DBA Doing business as
Authorized official Assaf, Tom E RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Mar 7th, 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 1316955362 NPPES
Mississippi MEDICAID 00030161
Mississippi Other 00972

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