Locke Drug Store Inc

LBN: Locke Drug Store Inc
Locke Drug Store Inc is an health care organization with primary practice located at 410 E Walnut St , Ripley MS 38663-2112. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Locke Drug Store Inc can be contacted via phone (662) 837-7177, or through Byrd, James via phone (662) 837-7177.

Contact Information

Primary practice address
410 E Walnut St Ripley MS 38663-2112
Phone: (662) 837-7177
Fax: (662) 837-7719
Website:
Map and Directions
Authorized official contact:
Name: Byrd, James RPH
Phone: (662) 837-7177

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 00504011 Mississippi

Profile Details

NPI number 1699872523
LBN Legal business name Locke Drug Store Inc
DBA Doing business as Locke Drug Store Inc
Authorized official Byrd, James RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 15th, 2012 - about 12 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 1699872523 NPPES
Mississippi MEDICAID 00030030
Mississippi Other 2506941

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