Bonner'S Pharmacy

LBN: Bonner'S Pharmacy
Bonner'S Pharmacy is an health care organization with primary practice located at 1000 J K Avent Dr , Grenada MS 38901-5063. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Bonner'S Pharmacy can be contacted via phone (662) 226-8825, or through Bonner, Billie James via phone (662) 226-8825.

Contact Information

Primary practice address
1000 J K Avent Dr Grenada MS 38901-5063
Phone: (662) 226-8825
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonner, Billie James
Phone: (662) 226-8825

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X 01331 Mississippi

Profile Details

NPI number 1538378468
LBN Legal business name Bonner'S Pharmacy
DBA Doing business as
Authorized official Bonner, Billie James
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2007
Last updated Mar 18th, 2008 - about 16 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 1538378468 NPPES
Mississippi MEDICAID 0094978
Mississippi MEDICAID 0045101

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