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Contact Information

POLKS DISCOUNT DRUGS #2
101 49 PLACE
FLORENCE, MS39073
 Phone: 601-845-8610
 Fax: 601-845-8650
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for POLKS DISCOUNT DRUGS #2

NPI # 1508961947
LBN Legal business name POLKS DISCOUNT DRUGS #2
Authorized official KENNETH WILLOUGHBY - (PHARMACIST/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2006
Last updated 04/29/2015 - About 11 years ago
Identifiers
MS License # 02014
MS Medicaid 00030485
MS Medicaid 00040389
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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