Pharmedium Services Llc

LBN: Pharmedium Services Llc
Pharmedium Services Llc is an health care organization with primary practice located at 913 N Davis Ave , Cleveland MS 38732-2106. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Pharmedium Services Llc can be contacted via phone (662) 846-5969, or through Griffin, Gary via phone (662) 846-5969.

Contact Information

Primary practice address
913 N Davis Ave Cleveland MS 38732-2106
Phone: (662) 846-5969
Fax: (662) 864-2614
Website:
Map and Directions
Authorized official contact:
Name: Griffin, Gary
Phone: (662) 846-5969

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 05336/02.0 Mississippi

Profile Details

NPI number 1013167824
LBN Legal business name Pharmedium Services Llc
DBA Doing business as Pharmedium Services Llc
Authorized official Griffin, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2008
Last updated Jun 22nd, 2010 - about 16 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 1013167824 NPPES
Other 2587357 NCPDP PROVIDER IDENTIFICATION NUMBER

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