Thirteenth Avenue Pharmacy
LBN: Thirteenth Avenue Pharmacy
Thirteenth Avenue Pharmacy is an health care organization with primary practice located at 216 S 13Th Ave , Laurel MS 39440-4226. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty.
Thirteenth Avenue Pharmacy can be contacted via phone (601) 428-7257, or through Mauldin, Kyle via phone (601) 428-7257.
Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Community/Retail Pharmacy | 3336C0003X | 01527 | Mississippi |
Profile Details
NPI number | 1689898579 |
---|---|
LBN Legal business name | Thirteenth Avenue Pharmacy |
DBA Doing business as | |
Authorized official | Mauldin, Kyle R.PH. |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 12th, 2007 |
Last updated | Aug 22nd, 2020 - about 5 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 | 1689898579 | NPPES |
Mississippi | MEDICAID | 00330499 |
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