Ssd Llc

LBN: Ssd Llc
Ssd Llc is an health care organization with primary practice located at 498 W Bankhead St , New Albany MS 38652-3319. 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. Ssd Llc can be contacted via phone (662) 534-4774, or through Gooch, Jill via phone (662) 534-4774.

Contact Information

Primary practice address
498 W Bankhead St New Albany MS 38652-3319
Phone: (662) 534-4774
Fax: (665) 534-4775
Website:
Map and Directions
Authorized official contact:
Name: Gooch, Jill
Phone: (662) 534-4774

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 02138/01.1 Mississippi

Profile Details

NPI number 1073849626
LBN Legal business name Ssd Llc
DBA Doing business as
Authorized official Gooch, Jill
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2009
Last updated Jan 31st, 2018 - about 6 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 1073849626 NPPES
Mississippi MEDICAID 00440688
Mississippi MEDICAID 03837896
Mississippi Other 2123079

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