Emmanuel Ridge Comm Phcy
LBN: Emmanuel Ridge Comm Phcy
Emmanuel Ridge Comm Phcy is an health care organization with primary practice located at 2073 Highway 49 S , Florence MS 39073-9422. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Emmanuel Ridge Comm Phcy can be contacted via phone (601) 845-3544, or through Ezem, Beatrice via phone (601) 927-9839.
Contact Information
Primary practice address
2073 Highway 49 S
Florence MS 39073-9422
Phone: (601) 845-3544
Fax: (601) 845-3636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 06939011 | Mississippi |
| Suppliers / Institutional Pharmacy | 3336I0012X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1073524583 |
|---|---|
| LBN Legal business name | Emmanuel Ridge Comm Phcy |
| DBA Doing business as | |
| Authorized official | Ezem, Beatrice RN CM CLNC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1073524583 | NPPES |
| Other | 2586622 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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