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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598770109 | NPPES |
| Mississippi | MEDICAID | 00093700 | |
| Mississippi | Other | 2044591 |
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