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 |
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Address | Po Box 4617, Bay St Louis, Mississippi |
Phone Number | 2284631055 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER PHCS |
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Authorized Official Name | Letellier Rudy |
Credentials | RPH |
Telephone Number | 2284631055 |
NPI Number Detail
NPI Number | 1679507644 |
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Provider Enumeration Date | 2006-07-10 |
Last Updated Date | 2015-12-14 |
Provider Mailing Address Detail
Address | Po Box 4617 |
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City | Bay St Louis |
State | Mississippi (MS) |
Post Code | 395214617 |
Phone Number | 2284631055 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacy |
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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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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.