Td Pharmacy

LBN: Mkb Pharmacy, Inc
Td Pharmacy is an health care organization with primary practice located at 12372 Highway 49 , Gulfport MS 39503-2741. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Mkb Pharmacy, Inc can be contacted via phone (228) 832-1414, or through Pisarich, Stephen Francis via phone (228) 832-1414.

Contact Information

Primary practice address
12372 Highway 49 Gulfport MS 39503-2741
Phone: (228) 832-1414
Fax: (228) 832-1479
Website:
Map and Directions
Authorized official contact:
Name: Pisarich, Stephen Francis PHARM.D.
Phone: (228) 832-1414

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 02829/01.1 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1821190463
LBN Legal business name Mkb Pharmacy, Inc
DBA Doing business as Td Pharmacy
Authorized official Pisarich, Stephen Francis PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2006
Last updated Mar 7th, 2023 - about 2 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 1821190463 NPPES
Mississippi MEDICAID 00330221
Mississippi Other 2508577
Mississippi Other 18124

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