Pmo Pharmacy Managenment

LBN: Polk'S Crossgates Discount Drugs Inc.
Pmo Pharmacy Managenment is an health care organization with primary practice located at 319 Cross Park Dr , Jackson MS 39208-8905. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacy Technician, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Polk'S Crossgates Discount Drugs Inc. can be contacted via phone (601) 420-5150, or through Jones, Kendall Parks via phone (601) 420-5150.

Contact Information

Primary practice address
319 Cross Park Dr Jackson MS 39208-8905
Fax: (601) 420-5502
Website:
Authorized official contact:
Name: Jones, Kendall Parks

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 04134 Mississippi
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1013925122
LBN Legal business name Polk'S Crossgates Discount Drugs Inc.
DBA Doing business as Pmo Pharmacy Managenment
Authorized official Jones, Kendall Parks
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Dec 18th, 2012 - about 12 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 1013925122 NPPES
Mississippi MEDICAID 00330604
Mississippi MEDICAID 00440744
Mississippi MEDICAID 1264474

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