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Contact Information

MITCHELLS PHARMACY INC
202 E MAIN ST
JONESBORO, LA71251
 Phone: 318-259-7466
 Fax: 318-259-8019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MITCHELLS PHARMACY INC

NPI # 1881742880
LBN Legal business name MITCHELLS PHARMACY INC
Authorized official DWAYNE MITCHELL - (OWNER & PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2007
Last updated 06/20/2018 - About 8 years ago
Identifiers
LA License # 2804
LA License # PHY.002804-IR
LA Medicaid 1261319
Other 2032909 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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