Medi Mart Pharmacy

LBN: Medi Mart Pharmacies Of Mississippi, Inc.
Medi Mart Pharmacy is an health care organization with primary practice located at 3737 Main St , Moss Point MS 39563-5107. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Medi Mart Pharmacies Of Mississippi, Inc. can be contacted via phone (228) 474-1011, or through Dubose, Clarence E. via phone (228) 474-1011.

Contact Information

Primary practice address
3737 Main St Moss Point MS 39563-5107
Phone: (228) 474-1011
Fax: (228) 474-1033
Website:
Map and Directions
Authorized official contact:
Name: Dubose, Clarence E. R.PH.
Phone: (228) 474-1011

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 01148/01.1 Mississippi

Profile Details

NPI number 1043304033
LBN Legal business name Medi Mart Pharmacies Of Mississippi, Inc.
DBA Doing business as Medi Mart Pharmacy
Authorized official Dubose, Clarence E. R.PH.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1043304033 NPPES
Mississippi MEDICAID 00030113

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