Covenant Pharmacy Llc

LBN: Covenant Pharmacy Llc
Covenant Pharmacy Llc is an health care organization with primary practice located at 371A Highland Colony Pkwy , Ridgeland MS 39157-6035. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Covenant Pharmacy Llc can be contacted via phone (601) 326-5760, or through Whitwell, William Richard via phone (601) 326-5760.

Contact Information

Primary practice address
371A Highland Colony Pkwy Ridgeland MS 39157-6035
Fax: (601) 326-5770
Website:
Authorized official contact:
Name: Whitwell, William Richard PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 05087 Mississippi

Profile Details

NPI number 1851390892
LBN Legal business name Covenant Pharmacy Llc
DBA Doing business as Covenant Pharmacy Llc
Authorized official Whitwell, William Richard PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 4th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851390892 NPPES
Mississippi MEDICAID 00330627
Mississippi Other 2046319

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