Hollis Discount Pharmacy, Inc

LBN: Hollis Discount Pharmacy, Inc
Hollis Discount Pharmacy, Inc is an health care organization with primary practice located at 1008 City Ave N , Ripley MS 38663-1413. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Hollis Discount Pharmacy, Inc can be contacted via phone (662) 837-4774, or through Tucker, Jimmy L via phone (662) 837-7323.

Contact Information

Primary practice address
1008 City Ave N Ripley MS 38663-1413
Phone: (662) 837-4774
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tucker, Jimmy L RPH
Phone: (662) 837-7323

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X MS1326 Mississippi
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1194889568
LBN Legal business name Hollis Discount Pharmacy, Inc
DBA Doing business as
Authorized official Tucker, Jimmy L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Apr 16th, 2023 - about last year

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 1194889568 NPPES
Mississippi MEDICAID 00095087

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