Mantachie Pharmacy
LBN: Mantachie Pharmacy Llc
Mantachie Pharmacy is an health care organization with primary practice located at 3309 Highway 371 N , Mantachie MS 38855. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mantachie Pharmacy Llc can be contacted via phone (662) 322-3901, or through Spradling, Katlyn via phone (662) 282-7000.
Contact Information
Primary practice address
3309 Highway 371 N
Mantachie MS 38855
Phone: (662) 322-3901
Fax: (662) 640-4116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 17079/1.1 | Mississippi |
Profile Details
| NPI number | 1992292536 |
|---|---|
| LBN Legal business name | Mantachie Pharmacy Llc |
| DBA Doing business as | Mantachie Pharmacy |
| Authorized official | Spradling, Katlyn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2018 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992292536 | NPPES |
| Other | 2177084 | PK |
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