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Contact Information

GEORGE COUNTY PHARMACY
92 RATLIFF ST
LUCEDALE, MS39452-6537
 Phone: 601-673-6181
 Fax: 601-766-4293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GEORGE COUNTY PHARMACY

NPI # 1841623808
LBN Legal business name GEORGE COUNTY PHARMACY
Authorized official CARMAN WALLEY - (DOP)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2013
Last updated 08/14/2013 - About 13 years ago
Identifiers
MS License # 12325/2.6
Other 2140621 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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