Polk'S Discount Drugs #7

LBN: Polk'S Crossgate Discount Drugs Inc.
Polk'S Discount Drugs #7 is an health care organization with primary practice located at 1031 Star Rd , Brandon MS 39042-9010. 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. Polk'S Crossgate Discount Drugs Inc. can be contacted via phone (601) 825-4507, or through Smith, Dennis via phone (601) 940-0668.

Contact Information

Primary practice address
1031 Star Rd Brandon MS 39042-9010
Fax: (601) 825-4524
Website:
Authorized official contact:
Name: Smith, Dennis

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 07891/01.2 Mississippi

Profile Details

NPI number 1306097902
LBN Legal business name Polk'S Crossgate Discount Drugs Inc.
DBA Doing business as Polk'S Discount Drugs #7
Authorized official Smith, Dennis
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2008
Last updated Feb 20th, 2017 - about 9 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 1306097902 NPPES
Mississippi MEDICAID 07308025
Mississippi Other 2117242

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