Phipps Pharmacy, Southaven

LBN: Phipps Pharmacy Inc
Phipps Pharmacy, Southaven is an health care organization with primary practice located at 25 Physician Lane , Southaven MS 38671-6102. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Phipps Pharmacy Inc can be contacted via phone (662) 349-9481, or through Phipps, Jerry Robert via phone (662) 349-9481.

Contact Information

Primary practice address
25 Physician Lane Southaven MS 38671-6102
Phone: (662) 349-9481
Fax: (662) 349-6409
Website:
Map and Directions
Authorized official contact:
Name: Phipps, Jerry Robert PHARMD
Phone: (662) 349-9481

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1548358633
LBN Legal business name Phipps Pharmacy Inc
DBA Doing business as Phipps Pharmacy, Southaven
Authorized official Phipps, Jerry Robert PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Feb 28th, 2023 - about 2 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 1548358633 NPPES
Mississippi MEDICAID 0033413
Mississippi MEDICAID 0040224

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