The Pharmacy At Desoto

LBN: Proxsys Rx - Rush Llc
The Pharmacy At Desoto is an health care organization with primary practice located at 7601 Southcrest Pkwy , Southaven MS 38671-4739. 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. Proxsys Rx - Rush Llc can be contacted via phone (662) 253-8206, or through Calhoun, Billy Ray via phone (205) 533-9119.

Contact Information

Primary practice address
7601 Southcrest Pkwy Southaven MS 38671-4739
Fax: (662) 253-8604
Website:
Authorized official contact:
Name: Calhoun, Billy Ray

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 14427 Mississippi

Profile Details

NPI number 1659746584
LBN Legal business name Proxsys Rx - Rush Llc
DBA Doing business as The Pharmacy At Desoto
Authorized official Calhoun, Billy Ray
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2015
Last updated Oct 12th, 2023 - about 3 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 1659746584 NPPES
Other 2155873 PK
MEDICAID 04406237 PK

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