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Contact Information

KING & MCNULTY LLC
434 B SOUTH CAPTIAN GLOSTER DR
GLOSTER, MS39638
 Phone: 601-225-7907
 Fax: 601-225-7906
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KING & MCNULTY LLC

NPI Number 1104901339
LBN Legal business name KING & MCNULTY LLC
Authorized official JAMES HOLLINGSWORTH - (PHCST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2006
Last updated 02/22/2016 - About 10 years ago
Identifiers
MS License # 06673
MS Medicaid 00639091
Other 2047225 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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