Mitchells Pharmacy Inc

LBN: Mitchells Pharmacy Inc
Mitchells Pharmacy Inc is an health care organization with primary practice located at 202 E Main St , Jonesboro LA 71251. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mitchells Pharmacy Inc can be contacted via phone (318) 259-7466, or through Mitchell, Dwayne via phone (318) 259-7466.

Contact Information

Primary practice address
202 E Main St Jonesboro LA 71251
Fax: (318) 259-8019
Website:
Authorized official contact:
Name: Mitchell, Dwayne RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 2804 Louisiana
Suppliers / Pharmacy 333600000X 2804 Louisiana
Suppliers / Community/Retail Pharmacy 3336C0003X PHY.002804-IR Louisiana
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X 2804 Louisiana

Profile Details

NPI number 1881742880
LBN Legal business name Mitchells Pharmacy Inc
DBA Doing business as Mitchells Pharmacy Inc
Authorized official Mitchell, Dwayne RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Jun 20th, 2018 - about 6 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 1881742880 NPPES
Other 2032909 PK
MEDICAID 1261319 PK

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