Polks Crossgates Discount Drugs, Inc.
LBN: Polks Crossgates Discount Drugs, Inc.
Polks Crossgates Discount Drugs, Inc. is an health care organization with primary practice located at 335 Crossgates Blvd , Brandon MS 39042-2602. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Polks Crossgates Discount Drugs, Inc. can be contacted via phone (601) 825-8660, or through Byrd, Michael Scott via phone (601) 825-8660.
Contact Information
Primary practice address
335 Crossgates Blvd
Brandon MS 39042-2602
Phone: (601) 825-8660
Fax: (601) 825-6983
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 01619/01.2 | Mississippi |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 01619- 01.2 | Mississippi |
Profile Details
| NPI number | 1629008859 |
|---|---|
| LBN Legal business name | Polks Crossgates Discount Drugs, Inc. |
| DBA Doing business as | |
| Authorized official | Byrd, Michael Scott R.PH. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629008859 | NPPES |
| Mississippi | MEDICAID | 00095346 | |
| Mississippi | MEDICAID | 00045115 |
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