Shiloh Apothecary Inc

LBN: Shiloh Apothecary Inc
Shiloh Apothecary Inc is an health care organization with primary practice located at 2049 E Shiloh Rd , Corinth MS 38834-3726. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shiloh Apothecary Inc can be contacted via phone (662) 594-1573, or through Mathis, Raymond Lafayette via phone (662) 594-1573.

Contact Information

Primary practice address
2049 E Shiloh Rd Corinth MS 38834-3726
Phone: (662) 594-1573
Fax: (662) 594-1628
Website:
Map and Directions
Authorized official contact:
Name: Mathis, Raymond Lafayette PHARM.D.
Phone: (662) 594-1573

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 16600 Mississippi
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1396259966
LBN Legal business name Shiloh Apothecary Inc
DBA Doing business as
Authorized official Mathis, Raymond Lafayette PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 19th, 2017
Last updated Jan 9th, 2024 - about 2 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 1396259966 NPPES
Mississippi MEDICAID 06132758

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