Anderson'S Pharmacy

LBN: Anderson'S Pharmacy, Llc
Anderson'S Pharmacy is an health care organization with primary practice located at 112 E Main St , N Carrollton MS 38947-2000. 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. Anderson'S Pharmacy, Llc can be contacted via phone (662) 237-9294, or through Smith, Lisa Stuart via phone (662) 237-6615.

Contact Information

Primary practice address
112 E Main St N Carrollton MS 38947-2000
Fax: (662) 237-9292
Website:
Authorized official contact:
Name: Smith, Lisa Stuart

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 01580/1.1 Mississippi

Profile Details

NPI number 1164437703
LBN Legal business name Anderson'S Pharmacy, Llc
DBA Doing business as Anderson'S Pharmacy
Authorized official Smith, Lisa Stuart
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Nov 19th, 2018 - about 6 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 1164437703 NPPES
Mississippi MEDICAID 00033243
Mississippi Other 2043327

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