Horn Lake Family Practice

LBN: Horn Lake Family Practice
Horn Lake Family Practice is an health care organization with primary practice located at 3102 Goodman Rd W , Horn Lake MS 38637-1172. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Horn Lake Family Practice can be contacted via phone (662) 342-6677, or through Sharma, Sheetal via phone (662) 342-6677.

Contact Information

Primary practice address
3102 Goodman Rd W Horn Lake MS 38637-1172
Phone: (662) 342-6677
Fax: (662) 342-0203
Website:
Map and Directions
Authorized official contact:
Name: Sharma, Sheetal
Phone: (662) 342-6677

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 14467 Mississippi
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1356718233
LBN Legal business name Horn Lake Family Practice
DBA Doing business as Horn Lake Family Practice
Authorized official Sharma, Sheetal
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2015
Last updated Feb 18th, 2016 - about 10 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 1356718233 NPPES
Other 2153358 PK

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