Medicine Shoppe

LBN: Klepzig Smith Inc
Medicine Shoppe is an health care organization with primary practice located at 9065 Sandidge Center Cove Suite A, Olive Branch MS 38654. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Klepzig Smith Inc can be contacted via phone (662) 893-7400, or through Klepzig, Mike via phone (662) 893-7400.

Contact Information

Primary practice address
9065 Sandidge Center Cove Suite A Olive Branch MS 38654
Phone: (662) 893-7400
Fax: (662) 893-7402
Website:
Map and Directions
Authorized official contact:
Name: Klepzig, Mike RPH
Phone: (662) 893-7400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0413301 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1629114285
LBN Legal business name Klepzig Smith Inc
DBA Doing business as Medicine Shoppe
Authorized official Klepzig, Mike RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
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 1629114285 NPPES
Mississippi MEDICAID 00330384
Mississippi Other 2519277

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