National Provider Identifier Database

MISSISSIPPI CENTER FOR ADVANCED MEDICINE PC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC
2053 GAUSE BLVD E STE 200
SLIDELL, LA70461-5451
Phone: 985-259-8045
Fax: 601-499-0311
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Clinic Pharmacy 3336C0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC

NPI Number 1548720527
Legal business name
LBN
MISSISSIPPI CENTER FOR ADVANCED MEDICINE, PC
Authorized official SPENCER SULLIVAN - (CEO/OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 03/25/2019
Last updated 09/25/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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