Magnolia Specialty Pharmacy Inc.
LBN: Magnolia Specialty Pharmacy Inc
Magnolia Specialty Pharmacy Inc. is an health care organization with primary practice located at 16 Keystone Dr Ste B , Hattiesburg MS 39402-6121. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Magnolia Specialty Pharmacy Inc can be contacted via phone (877) 871-3935, or through Parker, David via phone (601) 606-0252.
Contact Information
Primary practice address
16 Keystone Dr Ste B
Hattiesburg MS 39402-6121
Phone: (877) 871-3935
Fax: (888) 990-0575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 09087 | Mississippi |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1720368541 |
|---|---|
| LBN Legal business name | Magnolia Specialty Pharmacy Inc |
| DBA Doing business as | Magnolia Specialty Pharmacy Inc. |
| Authorized official | Parker, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2011 |
| Last updated | Apr 11th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720368541 | NPPES |
| Other | 2131699 | PK |
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