Southwest Savrex #632

LBN: Controlex Enterprises, Inc.
Southwest Savrex #632 is an health care organization with primary practice located at 1714 Denny Ave , Pascagoula MS 39567-3303. 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) 762-7192, or through Cannon, Modena S via phone (228) 769-7067.

Contact Information

Primary practice address
1714 Denny Ave Pascagoula MS 39567-3303
Phone: (228) 762-7192
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Modena S
Phone: (228) 769-7067

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 00842/01.2 Mississippi

Profile Details

NPI number 1992887020
LBN Legal business name Controlex Enterprises, Inc.
DBA Doing business as Southwest Savrex #632
Authorized official Cannon, Modena S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 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 1992887020 NPPES
Mississippi MEDICAID 00092568
Mississippi Other 2506422

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