National Provider Identifier Database

SINGING RIVER MENTAL HEALTH MENTAL RETARDATION SERVICES
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

SINGING RIVER MENTAL HEALTH MENTAL RETARDATION SERVICES
3407 SHAMROCK CT
GAUTIER, MS39553-5337
Phone: 228-497-0690
Fax: 228-497-0794
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for SINGING RIVER MENTAL HEALTH MENTAL RETARDATION SERVICES

NPI Number 1265837983
Legal business name
LBN
SINGING RIVER MENTAL HEALTH MENTAL RETARDATION SERVICES
Authorized official BRETTA ST ROMAIN - (PHARMACIST-IN-CHARGE)
Entity Organization
Organization subpart No
Enumeration date 10/23/2014
Last updated 04/28/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 14452/5.1
  • MS Medicaid: 01832567
  • Other: 2153586 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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