Waveland Pharmacy Llc in Bay St Louis - Pharmacy

Waveland Pharmacy Llc - NPI 1679507644

Waveland Pharmacy Llc is a Pharmacy in Bay St Louis, Mississippi. Waveland Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Waveland Pharmacy Llc is 1679507644. The last update date is 2015-12-14.

Waveland Pharmacy Llc's current location address is Po Box 4617, Bay St Louis, Mississippi. You can contact this provider via phone number 2284631055. The mailing address for Waveland Pharmacy Llc is Po Box 4617, Bay St Louis, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Waveland Pharmacy Llc
Address Po Box 4617, Bay St Louis, Mississippi
Phone Number 2284631055
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER PHCS
Authorized Official Name Letellier Rudy
Credentials RPH
Telephone Number 2284631055

NPI Number Detail

NPI Number 1679507644
Provider Enumeration Date 2006-07-10
Last Updated Date 2015-12-14

Provider Mailing Address Detail

Address Po Box 4617
City Bay St Louis
State Mississippi (MS)
Post Code 395214617
Phone Number 2284631055
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2046344 PK
330669 MS --

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FAQs about Waveland Pharmacy Llc

What is the unique identification code assigned to Waveland Pharmacy Llc by the Centers for Medicare & Medicaid Services?

The Waveland Pharmacy Llc has been issued the NPI (National Provider Identifier) 1679507644. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Waveland Pharmacy Llc is physically located?

The Waveland Pharmacy Llc is physically situated at the following address: Po Box 4617, Bay St Louis, MS, 395214617.

What is Waveland Pharmacy Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Waveland Pharmacy Llc is Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 333600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1679507644 to Waveland Pharmacy Llc?

The Centers for Medicare & Medicaid Services originally issued the 1679507644 to Waveland Pharmacy Llc on 2006-07-10.

As of what date was the information pertaining to Waveland Pharmacy Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Waveland Pharmacy Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-12-14.

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