Sullivan'S Discount Drugs

LBN: Sullivan'S Discount Drugs Inc.
Sullivan'S Discount Drugs is an health care organization with primary practice located at 109 Northside Shopping Center Hwy 12 W, Kosciusko MS 39090. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sullivan'S Discount Drugs Inc. can be contacted via phone (662) 289-3234, or through Hudson, David Charles via phone (662) 289-3234.

Contact Information

Primary practice address
109 Northside Shopping Center Hwy 12 W Kosciusko MS 39090
Phone: (662) 289-3234
Fax: (662) 289-3030
Website:
Map and Directions
Authorized official contact:
Name: Hudson, David Charles R.PH.
Phone: (662) 289-3234

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 00233 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X 00233 Mississippi

Profile Details

NPI number 1154354314
LBN Legal business name Sullivan'S Discount Drugs Inc.
DBA Doing business as Sullivan'S Discount Drugs
Authorized official Hudson, David Charles R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
Last updated Aug 18th, 2021 - about 5 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 1154354314 NPPES
Mississippi MEDICAID 00034452
Mississippi Other 2505026

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