Mill Street Pharmacy Inc
LBN: Mill Street Pharmacy Inc
Mill Street Pharmacy Inc is an health care organization with primary practice located at 10639 Al Highway 168 , Boaz AL 35957-1955. 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.
Mill Street Pharmacy Inc can be contacted via phone (256) 593-5279, or through Phillips, Patrick via phone (256) 593-5279.
Contact Information
Primary practice address
10639 Al Highway 168
Boaz AL 35957-1955
Phone: (256) 593-5279
Fax: (256) 593-1991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 111177 | Alabama |
Profile Details
| NPI number | 1295837300 |
|---|---|
| LBN Legal business name | Mill Street Pharmacy Inc |
| DBA Doing business as | Mill Street Pharmacy Inc |
| Authorized official | Phillips, Patrick |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Feb 22nd, 2017 - about 9 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 | 1295837300 | NPPES |
| Alabama | MEDICAID | 169336 | |
| Alabama | Other | 2150239 |
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