National Provider Identifier Database

PROFESSIONAL PHARMACY SERVICES INC
Oxygen Equipment & Supplies

Contact Information

PROFESSIONAL PHARMACY SERVICES INC.
1907 N MEDICAL PARK DR
SUITE 103
GREENVILLE, MS  38703-7240
Phone: 662-378-3850
Fax: 662-332-0195
Website:
Specialty Taxonomy Code
* Oxygen Equipment & Supplies 332BX2000X
Community/Retail Pharmacy 3336C0003X
Customized Equipment 332BC3200X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X
Parenteral & Enteral Nutrition 332BP3500X
Pharmacy 333600000X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for PROFESSIONAL PHARMACY SERVICES INC.

NPI Number 1992809560
Legal business name
LBN		 PROFESSIONAL PHARMACY SERVICES INC.
Authorized official KHALIL CROUSE - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/12/2006
Last updated 02/12/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: AR-20331
  • AR Medicaid: 115721716
  • AR Medicaid: 116277407
  • AR Other: 4A032 BCBS

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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