Tunica Pharmacy

LBN: Tunica Pharmacy, Inc.
Tunica Pharmacy is an health care organization with primary practice located at 1337 Highway 61 N , Tunica MS 38676-9661. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tunica Pharmacy, Inc. can be contacted via phone (662) 363-1431, or through Poff, William Eric via phone (901) 826-6493.

Contact Information

Primary practice address
1337 Highway 61 N Tunica MS 38676-9661
Phone: (662) 363-1431
Fax: (662) 363-9966
Website:
Map and Directions
Authorized official contact:
Name: Poff, William Eric R.PH.
Phone: (901) 826-6493

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 00653 Mississippi
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1316037237
LBN Legal business name Tunica Pharmacy, Inc.
DBA Doing business as Tunica Pharmacy
Authorized official Poff, William Eric R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2006
Last updated Oct 16th, 2023 - about 3 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 1316037237 NPPES
Other 2043432 PK
MEDICAID 00034711 PK
MEDICAID 000034711 PK

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