Jackson Community Pharmacy, Llc

LBN: Jackson Community Pharmacy, Llc
Jackson Community Pharmacy, Llc 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:
Map and Directions
Authorized official contact:
Name: Merriwether, Christopher
Phone: (601) 983-1239

Health care specialties

SpecialtyCodeLicense #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 Jackson Community Pharmacy, Llc
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760871339 NPPES
Other 2149725 PK

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