Gulf Coast Sav-Rex #631

LBN: Controlex Entrprises, Inc
Gulf Coast Sav-Rex #631 is an health care organization with primary practice located at 1420 Ingalls Ave , Pascagoula MS 39567-5650. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Controlex Entrprises, Inc can be contacted via phone (228) 762-4622, or through Cannon, Modena S via phone (228) 769-7067.

Contact Information

Primary practice address
1420 Ingalls Ave Pascagoula MS 39567-5650
Phone: (228) 762-4622
Fax: (228) 762-1756
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Modena S
Phone: (228) 769-7067

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 01128/01.2 Mississippi

Profile Details

NPI number 1972685097
LBN Legal business name Controlex Entrprises, Inc
DBA Doing business as Gulf Coast Sav-Rex #631
Authorized official Cannon, Modena S
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2006
Last updated Oct 1st, 2010 - about 14 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 1972685097 NPPES
Mississippi MEDICAID 0032191
Mississippi Other 2506369

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