Booneville Community Pharmacy
LBN: Booneville Community Pharmacy Of Msinc
Booneville Community Pharmacy is an health care organization with primary practice located at 206 N 2Nd St , Booneville MS 38829-2702. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Booneville Community Pharmacy Of Msinc can be contacted via phone (662) 728-1951, or through Smith, Tony via phone (662) 728-1951.
Contact Information
Primary practice address
206 N 2Nd St
Booneville MS 38829-2702
Phone: (662) 728-1951
Fax: (662) 728-1873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 04785011 | Mississippi |
Profile Details
| NPI number | 1679651186 |
|---|---|
| LBN Legal business name | Booneville Community Pharmacy Of Msinc |
| DBA Doing business as | Booneville Community Pharmacy |
| Authorized official | Smith, Tony |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | May 23rd, 2023 - about 2 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 | 1679651186 | NPPES |
| Mississippi | MEDICAID | 00330527 | |
| Mississippi | Other | 2520232 |
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