Wilson'S Pharmacy, Inc.
LBN: Wilson'S Pharmacy, Inc.
Wilson'S Pharmacy, Inc. is an health care organization with primary practice located at 101 Pine Ave E , Wiggins MS 39577-2752. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Wilson'S Pharmacy, Inc. can be contacted via phone (601) 928-4446, or through Wilson, Simon P. via phone (601) 928-4446.
Contact Information
Primary practice address
101 Pine Ave E
Wiggins MS 39577-2752
Phone: (601) 928-4446
Fax: (601) 928-4844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 00469/01.1 | Mississippi |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1053401067 |
|---|---|
| LBN Legal business name | Wilson'S Pharmacy, Inc. |
| DBA Doing business as | |
| Authorized official | Wilson, Simon P. R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Feb 5th, 2019 - about 7 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 | 1053401067 | NPPES |
| Mississippi | MEDICAID | 00035157 | |
| Mississippi | MEDICAID | 02028875 |
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