Nissan Family Pharmacy #12952

LBN: Walgreen Co
Nissan Family Pharmacy #12952 is an health care organization with primary practice located at 300 Nissan Dr , Canton MS 39046-8562. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Walgreen Co can be contacted via phone (601) 407-1545, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
300 Nissan Dr Canton MS 39046-8562
Phone: (601) 407-1545
Fax: (601) 407-1550
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 05763 0.26 Mississippi

Profile Details

NPI number 1669527677
LBN Legal business name Walgreen Co
DBA Doing business as Nissan Family Pharmacy #12952
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Apr 8th, 2022 - about 4 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 1669527677 NPPES
Mississippi Other 2521323 NCPDP

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