Medicap Pharmacy

LBN: Waldrip Pharms Llc
Medicap Pharmacy is an health care organization with primary practice located at 425 Desoto Ave , Clarksdale MS 38614-5214. 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. Waldrip Pharms Llc can be contacted via phone (662) 627-0100, or through Ferman, Dena via phone (314) 993-6000.

Contact Information

Primary practice address
425 Desoto Ave Clarksdale MS 38614-5214
Phone: (662) 627-0100
Fax: (662) 627-0102
Website:
Map and Directions
Authorized official contact:
Name: Ferman, Dena
Phone: (314) 993-6000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0332901MC Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1679623995
LBN Legal business name Waldrip Pharms Llc
DBA Doing business as Medicap Pharmacy
Authorized official Ferman, Dena
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Mar 7th, 2023 - about last year

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 1679623995 NPPES
Other 2518554 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 0330233 OTHER ID NUMBER-COMMERCIAL NUMBER

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