Beach Pharmacy

LBN: Beach Pharmacy Inc
Beach Pharmacy is an health care organization with primary practice located at 1110 Cowan Rd , Gulfport MS 39507-3441. 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. Beach Pharmacy Inc can be contacted via phone (228) 896-7070, or through Krohn, Larry via phone (228) 896-7070.

Contact Information

Primary practice address
1110 Cowan Rd Gulfport MS 39507-3441
Phone: (228) 896-7070
Fax: (228) 896-2843
Website:
Map and Directions
Authorized official contact:
Name: Krohn, Larry RPH
Phone: (228) 896-7070

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 0043711 Mississippi

Profile Details

NPI number 1386709715
LBN Legal business name Beach Pharmacy Inc
DBA Doing business as Beach Pharmacy
Authorized official Krohn, Larry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Apr 29th, 2016 - about 9 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 1386709715 NPPES
Mississippi MEDICAID 00030252
Mississippi Other 2043214

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