Polk'S Discount Drugs # 4
LBN: Polk'S Crossgate Discount Drugs Inc.
Polk'S Discount Drugs # 4 is an health care organization with primary practice located at 1866 Spillway Rd , Brandon MS 39047-6063. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, 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) 992-4466, or through Hubbard, Andrew L via phone (601) 992-4450.
Contact Information
Primary practice address
1866 Spillway Rd
Brandon MS 39047-6063
Phone: (601) 992-4466
Fax: (601) 992-4415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 02279 | Mississippi |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1932138872 |
|---|---|
| LBN Legal business name | Polk'S Crossgate Discount Drugs Inc. |
| DBA Doing business as | Polk'S Discount Drugs # 4 |
| Authorized official | Hubbard, Andrew L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Apr 2nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932138872 | NPPES |
| Mississippi | MEDICAID | 0030406 | |
| Mississippi | MEDICAID | 01402218 |
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