Lifecore Pharmacy, Amory
LBN: Northeast Mental Health Mental Retardation Commission
Lifecore Pharmacy, Amory is an health care organization with primary practice located at 317 Main St N , Amory MS 38821-3420. 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.
Northeast Mental Health Mental Retardation Commission can be contacted via phone (662) 634-4347, or through Watson, Van via phone (662) 634-4347.
Contact Information
Primary practice address
317 Main St N
Amory MS 38821-3420
Phone: (662) 634-4347
Fax: (662) 256-5567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 07162/5.2 | Mississippi |
Profile Details
| NPI number | 1982761367 |
|---|---|
| LBN Legal business name | Northeast Mental Health Mental Retardation Commission |
| DBA Doing business as | Lifecore Pharmacy, Amory |
| Authorized official | Watson, Van BS OF PHARMACY |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982761367 | NPPES |
| Other | 2047457 | PK | |
| MEDICAID | 05123737 | PK |
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