Mcdaniel Pharmacy

LBN: Van Dev Enterprises Inc
Mcdaniel Pharmacy is an health care organization with primary practice located at 1005 Market St , Port Gibson MS 39150-2337. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Van Dev Enterprises Inc can be contacted via phone (601) 437-5121, or through Vandevender, Daphyne via phone (601) 437-5121.

Contact Information

Primary practice address
1005 Market St Port Gibson MS 39150-2337
Phone: (601) 437-5121
Fax: (601) 437-5102
Website:
Map and Directions
Authorized official contact:
Name: Vandevender, Daphyne PD
Phone: (601) 437-5121

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 00680 Mississippi

Profile Details

NPI number 1932204880
LBN Legal business name Van Dev Enterprises Inc
DBA Doing business as Mcdaniel Pharmacy
Authorized official Vandevender, Daphyne PD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Feb 25th, 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 1932204880 NPPES
Mississippi MEDICAID 0330665
Mississippi Other 2506737

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