Complete Diabetes Pharmacy

LBN: Complete Diabetes Pharmacy Care Inc
Complete Diabetes Pharmacy is an health care organization with primary practice located at 7165 Swinnea Rd Bldg B-2, Southaven MS 38671-6360. 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. Complete Diabetes Pharmacy Care Inc can be contacted via phone (662) 280-5533, or through Brosseau, Craig via phone (952) 646-3255.

Contact Information

Primary practice address
7165 Swinnea Rd Bldg B-2 Southaven MS 38671-6360
Phone: (662) 280-5533
Fax: (800) 208-0863
Website:
Map and Directions
Authorized official contact:
Name: Brosseau, Craig
Phone: (952) 646-3255

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 13340 Mississippi

Profile Details

NPI number 1619396892
LBN Legal business name Complete Diabetes Pharmacy Care Inc
DBA Doing business as Complete Diabetes Pharmacy
Authorized official Brosseau, Craig
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2014
Last updated Nov 11th, 2022 - about 3 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 1619396892 NPPES
Other 2145616 PK

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