Escatawpa Sav-Rex #636

LBN: Controlex Enterprises, Inc
Escatawpa Sav-Rex #636 is an health care organization with primary practice located at 7818 Highway 613 , Moss Point MS 39563-9315. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Controlex Enterprises, Inc can be contacted via phone (228) 475-6912, or through Cannon, Modena S via phone (228) 769-7067.

Contact Information

Primary practice address
7818 Highway 613 Moss Point MS 39563-9315
Phone: (228) 475-6912
Fax: (228) 475-6763
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Modena S
Phone: (228) 769-7067

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 00840/01.2 Mississippi

Profile Details

NPI number 1023195542
LBN Legal business name Controlex Enterprises, Inc
DBA Doing business as Escatawpa Sav-Rex #636
Authorized official Cannon, Modena S
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1023195542 NPPES
Mississippi Other 2508717 NCPDP
Mississippi MEDICAID 00330267 NCPDP

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