Pontotoc Hospital Pharmacy

LBN: Pototoc Health Services Inc
Pontotoc Hospital Pharmacy is an health care organization with primary practice located at 176 S Main St , Pontotoc MS 38863-3311. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Pototoc Health Services Inc can be contacted via phone (662) 488-7629, or through Holland, Lynn via phone (662) 377-3978.

Contact Information

Primary practice address
176 S Main St Pontotoc MS 38863-3311
Phone: (662) 488-7629
Fax: (662) 488-7714
Website:
Map and Directions
Authorized official contact:
Name: Holland, Lynn
Phone: (662) 377-3978

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 00902/3.1 Mississippi

Profile Details

NPI number 1841395191
LBN Legal business name Pototoc Health Services Inc
DBA Doing business as Pontotoc Hospital Pharmacy
Authorized official Holland, Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Oct 14th, 2016 - 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 1841395191 NPPES
Other 2043676 PK
MEDICAID 0038938 PK

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