Montgomery Drug Company

LBN: Montgomery Drug Co Inc
Montgomery Drug Company is an health care organization with primary practice located at 349 Highway 15 N , Pontotoc MS 38863-1105. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Montgomery Drug Co Inc can be contacted via phone (662) 489-5555, or through Randle, James via phone (662) 489-5555.

Contact Information

Primary practice address
349 Highway 15 N Pontotoc MS 38863-1105
Phone: (662) 489-5555
Fax: (662) 489-6759
Website:
Map and Directions
Authorized official contact:
Name: Randle, James RPH
Phone: (662) 489-5555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 01025/1.1 Mississippi
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1598770109
LBN Legal business name Montgomery Drug Co Inc
DBA Doing business as Montgomery Drug Company
Authorized official Randle, James RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 29th, 2016 - about 10 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 1598770109 NPPES
Mississippi MEDICAID 00093700
Mississippi Other 2044591

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