Robert Watts Pharmacy

LBN: Robert Watts Pharmacy
Robert Watts Pharmacy is an health care organization with primary practice located at 515 Brookway Blvd , Brookhaven MS 39601-3266. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Robert Watts Pharmacy can be contacted via phone (601) 833-3160, or through Watts, Robert via phone (601) 833-3160.

Contact Information

Primary practice address
515 Brookway Blvd Brookhaven MS 39601-3266
Phone: (601) 833-3160
Fax: (601) 835-0430
Website:
Map and Directions
Authorized official contact:
Name: Watts, Robert
Phone: (601) 833-3160

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 01781 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1437160942
LBN Legal business name Robert Watts Pharmacy
DBA Doing business as
Authorized official Watts, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 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 1437160942 NPPES
Mississippi MEDICAID 00030255
Mississippi Other 2513756

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