Diamond Grove Center Pharmacy

LBN: Diamond Grove Ctr Pharmacy
Diamond Grove Center Pharmacy is an health care organization with primary practice located at 2311 Highway 15 S , Louisville MS 39339-7071. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Diamond Grove Ctr Pharmacy can be contacted via phone (662) 779-0119, or through Swoopes, Patrick via phone (662) 779-0119.

Contact Information

Primary practice address
2311 Highway 15 S Louisville MS 39339-7071
Phone: (662) 779-0119
Fax: (662) 779-0126
Website:
Map and Directions
Authorized official contact:
Name: Swoopes, Patrick PHARMD
Phone: (662) 779-0119

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 03665 Mississippi
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1558372193
LBN Legal business name Diamond Grove Ctr Pharmacy
DBA Doing business as Diamond Grove Center Pharmacy
Authorized official Swoopes, Patrick PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 15th, 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 1558372193 NPPES
Mississippi MEDICAID 00330450
Mississippi Other 2047294

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