Hollis Discount Pharmacy, Inc

LBN: Hollis Discount Pharmacy, Inc
Hollis Discount Pharmacy, Inc is an health care organization with primary practice located at 1008 City Ave N , Ripley MS 38663-1413. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hollis Discount Pharmacy, Inc can be contacted via phone (662) 837-7300, or through Tucker, Jimmy L via phone (662) 837-7323.

Contact Information

Primary practice address
1008 City Ave N Ripley MS 38663-1413
Phone: (662) 837-7300
Fax: (662) 837-3600
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Jimmy L RPH
Phone: (662) 837-7323

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1801553367
LBN Legal business name Hollis Discount Pharmacy, Inc
DBA Doing business as
Authorized official Tucker, Jimmy L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2021
Last updated Nov 19th, 2021 - about 5 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 1801553367 NPPES
Mississippi MEDICAID 00095087

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