Jackson'S Discount Pharmacy, Inc.

LBN: Jackson'S Discount Pharmacy, Inc.
Jackson'S Discount Pharmacy, Inc. is an health care organization with primary practice located at 11340 Three Rivers Rd Ste A , Gulfport MS 39503-3650. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Jackson'S Discount Pharmacy, Inc. can be contacted via phone (228) 832-0808, or through Jackson, Linda Marie via phone (228) 832-8000.

Contact Information

Primary practice address
11340 Three Rivers Rd Ste A Gulfport MS 39503-3650
Phone: (228) 832-0808
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Linda Marie
Phone: (228) 832-8000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X 02264011 Mississippi

Profile Details

NPI number 1568669208
LBN Legal business name Jackson'S Discount Pharmacy, Inc.
DBA Doing business as
Authorized official Jackson, Linda Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Apr 11th, 2008 - about 16 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 1568669208 NPPES
Mississippi MEDICAID 00440464

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