Polk'S Discount Drugs #5

LBN: Polk'S Crossgate Discount Drugs Inc.
Polk'S Discount Drugs #5 is an health care organization with primary practice located at 1201 Highway 49 S Ste 2, Richland MS 39218-9425. 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. Polk'S Crossgate Discount Drugs Inc. can be contacted via phone (601) 932-8609, or through Skelton, Ronald via phone (601) 932-8609.

Contact Information

Primary practice address
1201 Highway 49 S Ste 2 Richland MS 39218-9425
Fax: (601) 933-0024
Website:
Authorized official contact:
Name: Skelton, Ronald B.S. PHARMACY

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X F02384 Mississippi

Profile Details

NPI number 1518997410
LBN Legal business name Polk'S Crossgate Discount Drugs Inc.
DBA Doing business as Polk'S Discount Drugs #5
Authorized official Skelton, Ronald B.S. PHARMACY
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Mar 13th, 2017 - about 8 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 1518997410 NPPES
Mississippi MEDICAID 00330041
Mississippi Other 2045389

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