Southwest Drug Store
LBN: Southwest Drugstore Of Ms Inc
Southwest Drug Store is an health care organization with primary practice located at 1601 Adeline St , Hattiesburg MS 39401-6267. 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.
Southwest Drugstore Of Ms Inc can be contacted via phone (601) 582-2481, or through Moore, Osher via phone (601) 898-7885.
Contact Information
Primary practice address
1601 Adeline St
Hattiesburg MS 39401-6267
Phone: (601) 582-2481
Fax: (601) 545-3662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 0077500 | Mississippi |
Profile Details
| NPI number | 1750421293 |
|---|---|
| LBN Legal business name | Southwest Drugstore Of Ms Inc |
| DBA Doing business as | Southwest Drug Store |
| Authorized official | Moore, Osher |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Sep 25th, 2007 - about 17 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 | 1750421293 | NPPES |
| Other | 2500913 | OTHER ID NUMBER | |
| Other | 2500913 | OTHER ID NUMBER | |
| MEDICAID | 0036251 | OTHER ID NUMBER |
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