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FIRST PHARMACY SERVICES 5

Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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Contact Information

FIRST PHARMACY SERVICES 5
6888 GOODMAN RD STE 122
OLIVE BRANCH, MS  38654-8761
 Phone: 662-349-3300
 Fax: 662-349-3311
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

 3336L0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

 3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

 3336C0003X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

 3336M0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

 333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

 3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FIRST PHARMACY SERVICES 5

NPI Number 1184919268
LBN Legal business name FIRST PHARMACY SERVICES 5
Authorized official DENISE PRATT - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2011
Last updated 04/05/2022 - About 4 years ago
Identifiers
MS License # 13864/4.1
Other 2149277 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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