Gw Pharmacy

LBN: Gw Pharmacy Llc
Gw Pharmacy is an health care organization with primary practice located at 201 N College St Ste 101 , Brandon MS 39042-4439. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Gw Pharmacy Llc can be contacted via phone (601) 825-2897, or through Tigrett, Waymon via phone (601) 573-7788.

Contact Information

Primary practice address
201 N College St Ste 101 Brandon MS 39042-4439
Phone: (601) 825-2897
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tigrett, Waymon
Phone: (601) 573-7788

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Specialty Pharmacy 3336S0011X 08886/02.6 Mississippi

Profile Details

NPI number 1972893006
LBN Legal business name Gw Pharmacy Llc
DBA Doing business as Gw Pharmacy
Authorized official Tigrett, Waymon
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2011
Last updated May 16th, 2011 - about 13 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 1972893006 NPPES
Other 2588284 NCPDP PROVIDER IDENTIFICATION NUMBER

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