Keystone Pharmacy Llc
LBN: Keystone Pharmacy Llc
Keystone Pharmacy Llc is an health care organization with primary practice located at 106 Highland Way Ste 206 , Madison MS 39110-6930. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Keystone Pharmacy Llc can be contacted via phone (601) 707-9727, or through Clark, Kim via phone (601) 707-9727.
Contact Information
Primary practice address
106 Highland Way Ste 206
Madison MS 39110-6930
Phone: (601) 707-9727
Fax: (601) 510-3846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 11702 | Mississippi |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1407109457 |
|---|---|
| LBN Legal business name | Keystone Pharmacy Llc |
| DBA Doing business as | Keystone Pharmacy Llc |
| Authorized official | Clark, Kim |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 15th, 2012 |
| Last updated | Jan 10th, 2024 - about 11 months 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 | 1407109457 | NPPES |
| Other | 2145389 | PK |
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