Ole River Pharmacy

LBN: D And L Med Llc
Ole River Pharmacy is an health care organization with primary practice located at 5315 Old Highway 11 Suite 4, Hattiesburg MS 39402-6224. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. D And L Med Llc can be contacted via phone (601) 271-2006, or through Myers, Danny via phone (601) 408-6250.

Contact Information

Primary practice address
5315 Old Highway 11 Suite 4 Hattiesburg MS 39402-6224
Phone: (601) 271-2006
Fax: (800) 716-4177
Website:
Map and Directions
Authorized official contact:
Name: Myers, Danny RPH
Phone: (601) 408-6250

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 07214/2.3 Mississippi

Profile Details

NPI number 1356406490
LBN Legal business name D And L Med Llc
DBA Doing business as Ole River Pharmacy
Authorized official Myers, Danny RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Oct 14th, 2016 - about 8 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 1356406490 NPPES
Mississippi MEDICAID 03001314
Mississippi Other 2047458

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