Baptist Family Pharmacy

LBN: Mississippi Baptist Medical Center, Inc.
Baptist Family Pharmacy is an health care organization with primary practice located at 1225 N State St , Jackson MS 39202-2064. 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. Mississippi Baptist Medical Center, Inc. can be contacted via phone (601) 968-6350, or through Duckett, Gregory M via phone (901) 227-5233.

Contact Information

Primary practice address
1225 N State St Jackson MS 39202-2064
Fax: (601) 968-6351
Website:
Authorized official contact:
Name: Duckett, Gregory M

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 15022/1.1 Mississippi

Profile Details

NPI number 1255882890
LBN Legal business name Mississippi Baptist Medical Center, Inc.
DBA Doing business as Baptist Family Pharmacy
Authorized official Duckett, Gregory M
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 19th, 2016
Last updated Sep 30th, 2020 - about 6 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 1255882890 NPPES
Mississippi MEDICAID 00031730

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