Pickle'S Drug Store, Inc

LBN: Pickle'S Drug Store, Inc
Pickle'S Drug Store, Inc is an health care organization with primary practice located at 100 N Jackson St , Kosciusko MS 39090-3730. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pickle'S Drug Store, Inc can be contacted via phone (662) 289-1112, or through Pickle, Robert W via phone (662) 289-1112.

Contact Information

Primary practice address
100 N Jackson St Kosciusko MS 39090-3730
Phone: (662) 289-1112
Fax: (662) 289-5061
Website:
Map and Directions
Authorized official contact:
Name: Pickle, Robert W RPH
Phone: (662) 289-1112

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 00214/01.1 Mississippi

Profile Details

NPI number 1548285505
LBN Legal business name Pickle'S Drug Store, Inc
DBA Doing business as
Authorized official Pickle, Robert W RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 22nd, 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 1548285505 NPPES
Mississippi MEDICAID 05377705
Mississippi Other 2505014
Mississippi MEDICAID 00330210

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