Guy'S Pharmacy Of Crystal Springs

LBN: Southwest Pharmacy Inc
Guy'S Pharmacy Of Crystal Springs is an health care organization with primary practice located at 512 W Marion Ave , Crystal Springs MS 39059-2747. 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 Pharmacy Inc can be contacted via phone (601) 647-0030, or through Guy, Joe via phone (601) 647-0030.

Contact Information

Primary practice address
512 W Marion Ave Crystal Springs MS 39059-2747
Phone: (601) 647-0030
Fax: (601) 647-0033
Website:
Map and Directions
Authorized official contact:
Name: Guy, Joe
Phone: (601) 647-0030

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 15055/1.1 Mississippi

Profile Details

NPI number 1801339387
LBN Legal business name Southwest Pharmacy Inc
DBA Doing business as Guy'S Pharmacy Of Crystal Springs
Authorized official Guy, Joe
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2016
Last updated Aug 25th, 2021 - about 3 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 1801339387 NPPES
Mississippi MEDICAID 04456875
Mississippi Other 2166424

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