Mike'S Pharmacy, A Memeber Of The Medicine Shoppe Family

LBN: Asm Inc
Mike'S Pharmacy, A Memeber Of The Medicine Shoppe Family is an health care organization with primary practice located at 9065 Sandidge Center Cv Suite A, Olive Branch MS 38654-3574. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Asm Inc can be contacted via phone (662) 892-8448, or through Klepzig, Mike via phone (662) 892-8448.

Contact Information

Primary practice address
9065 Sandidge Center Cv Suite A Olive Branch MS 38654-3574
Fax: (662) 892-8189
Website:
Authorized official contact:
Name: Klepzig, Mike

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 14901/1.1 Mississippi
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1902359342
LBN Legal business name Asm Inc
DBA Doing business as Mike'S Pharmacy, A Memeber Of The Medicine Shoppe Family
Authorized official Klepzig, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2016
Last updated Dec 1st, 2016 - about 8 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 1902359342 NPPES
Mississippi MEDICAID 0040940
Mississippi Other 2162413

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