Plaza Pharmacy Inc

LBN: Plaza Pharmacy Inc
Plaza Pharmacy Inc is an health care organization with primary practice located at 4211 Hospital St Ste 104, Pascagoula MS 39581-5320. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Plaza Pharmacy Inc can be contacted via phone (228) 762-1940, or through Clark, Kenneth via phone (228) 762-1940.

Contact Information

Primary practice address
4211 Hospital St Ste 104 Pascagoula MS 39581-5320
Phone: (228) 762-1940
Fax: (228) 762-1940
Website:
Map and Directions
Authorized official contact:
Name: Clark, Kenneth
Phone: (228) 762-1940

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 01129/1.2 Mississippi

Profile Details

NPI number 1295894293
LBN Legal business name Plaza Pharmacy Inc
DBA Doing business as Plaza Pharmacy Inc
Authorized official Clark, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Aug 9th, 2019 - about 7 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 1295894293 NPPES
Other 2043339 PK
MEDICAID 0030278 PK

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