Park Place Pharmacy
LBN: South Mississippi Pharmacists
Park Place Pharmacy is an health care organization with primary practice located at 46 Parkway Ln , Petal MS 39465-3035. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
South Mississippi Pharmacists can be contacted via phone (601) 450-3673, or through Lindley, Brent via phone (601) 450-3673.
Contact Information
Primary practice address
46 Parkway Ln
Petal MS 39465-3035
Phone: (601) 450-3673
Fax: (888) 959-2285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 090361.1 | Mississippi |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1336433473 |
|---|---|
| LBN Legal business name | South Mississippi Pharmacists |
| DBA Doing business as | Park Place Pharmacy |
| Authorized official | Lindley, Brent PHARM.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2011 |
| Last updated | Jul 16th, 2019 - about 7 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 | 1336433473 | NPPES |
| Mississippi | MEDICAID | 07904554 | |
| Mississippi | Other | 2131489 |
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