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
Phone: (601) 326-5760
Fax: (601) 326-5770
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851390892 | NPPES |
| Mississippi | MEDICAID | 00330627 | |
| Mississippi | Other | 2046319 |
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