Aspire Rx
LBN: Vicksburg Special Care Pharmacy And Compounding Llc
Aspire Rx is an health care organization with primary practice located at 4079 Pemberton Square Blvd , Vicksburg MS 39180-5580. 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.
Vicksburg Special Care Pharmacy And Compounding Llc can be contacted via phone (601) 636-5555, or through Rutland, Jason via phone (601) 983-1239.
Contact Information
Primary practice address
4079 Pemberton Square Blvd
Vicksburg MS 39180-5580
Phone: (601) 636-5555
Fax: (601) 638-1564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 08249/1.1 | Mississippi |
Profile Details
| NPI number | 1659606663 |
|---|---|
| LBN Legal business name | Vicksburg Special Care Pharmacy And Compounding Llc |
| DBA Doing business as | Aspire Rx |
| Authorized official | Rutland, Jason PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 8th, 2009 |
| Last updated | Oct 7th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659606663 | NPPES |
| Other | 2122108 | PK | |
| MEDICAID | 123555 | PK |
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