Wallace Discount Drugs

LBN: Wallace Drug Company Inc
Wallace Discount Drugs is an health care organization with primary practice located at 520 N Magnolia St , Laurel MS 39440-3559. 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. Wallace Drug Company Inc can be contacted via phone (601) 428-1277, or through Robertson, Joseph via phone (601) 428-1277.

Contact Information

Primary practice address
520 N Magnolia St Laurel MS 39440-3559
Phone: (601) 428-1277
Fax: (601) 428-1898
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Joseph
Phone: (601) 428-1277

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0162611 Mississippi

Profile Details

NPI number 1396874178
LBN Legal business name Wallace Drug Company Inc
DBA Doing business as Wallace Discount Drugs
Authorized official Robertson, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Aug 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396874178 NPPES
Other 2050522 PK
MEDICAID 34908 PK

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