Thomas Pharmacy Gardiner Center Llc

LBN: Thomas Pharmacy Gardiner Center Llc
Thomas Pharmacy Gardiner Center Llc is an health care organization with primary practice located at 170 Leontyne Price Blvd , Laurel MS 39440-4428. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Thomas Pharmacy Gardiner Center Llc can be contacted via phone (601) 428-5977, or through Thomas, Larry Eugene via phone (601) 428-5977.

Contact Information

Primary practice address
170 Leontyne Price Blvd Laurel MS 39440-4428
Fax: (601) 428-7150
Website:
Authorized official contact:
Name: Thomas, Larry Eugene RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5123500001 Mississippi
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1518929785
LBN Legal business name Thomas Pharmacy Gardiner Center Llc
DBA Doing business as
Authorized official Thomas, Larry Eugene RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2006
Last updated Mar 26th, 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 1518929785 NPPES
Mississippi MEDICAID 00330692
Mississippi MEDICAID 01454526

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