<Unavail>
LBN: Jackson Community Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 350 W Woodrow Wilson Ave Ste 311 , Jackson MS 39213-7681. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jackson Community Pharmacy, Llc can be contacted via phone (601) 326-5370, or through Merriwether, Christopher via phone (601) 983-1239.
Contact Information
Primary practice address
350 W Woodrow Wilson Ave Ste 311
Jackson MS 39213-7681
Phone: (601) 326-5370
Fax: (601) 982-7103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | F14158 | Mississippi |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1760871339 |
|---|---|
| LBN Legal business name | Jackson Community Pharmacy, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Merriwether, Christopher |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 20th, 2015 |
| Last updated | Jan 20th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760871339 | NPPES |
| Other | 2149725 | PK |
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