County Market Pharmacy

LBN: Southeast Foods, Inc.
County Market Pharmacy is an health care organization with primary practice located at 3111 Highway 80 E , Pearl MS 39208-3503. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Southeast Foods, Inc. can be contacted via phone (601) 932-5337, or through Dedmon, Charles via phone (318) 388-1884.

Contact Information

Primary practice address
3111 Highway 80 E Pearl MS 39208-3503
Phone: (601) 932-5337
Fax: (601) 932-7952
Website:
Map and Directions
Authorized official contact:
Name: Dedmon, Charles
Phone: (318) 388-1884

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 03618012 Mississippi

Profile Details

NPI number 1154459816
LBN Legal business name Southeast Foods, Inc.
DBA Doing business as County Market Pharmacy
Authorized official Dedmon, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Mar 2nd, 2010 - about 16 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 1154459816 NPPES
Other 2520674 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 00330610 NCPDP PROVIDER IDENTIFICATION NUMBER

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