Walnut Square Pharmacy Llc in Hattiesburg - Pharmacy
Walnut Square Pharmacy Llc - NPI 1578603015
Walnut Square Pharmacy Llc is a Pharmacy in Hattiesburg, Mississippi. Walnut Square Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Walnut Square Pharmacy Llc is 1578603015. The last update date is 2007-09-12.
Walnut Square Pharmacy Llc's current location address is 124 Walnut Cir, Hattiesburg, Mississippi. You can contact this provider via phone number 6015430111 and fax number 6015430208. The mailing address for Walnut Square Pharmacy Llc is 124 Walnut Cir, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walnut Square Pharmacy Llc |
|---|---|
| Address | 124 Walnut Cir, Hattiesburg, Mississippi |
| Phone Number | 6015430111 |
| Fax Number | 6015430208 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Worrel Stephen |
| Credentials | PHARMD |
| Telephone Number | 6015833232 |
NPI Number Detail
| NPI Number | 1578603015 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 124 Walnut Cir |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394013500 |
| Phone Number | 6015430111 |
| Fax Number | 6015430208 |
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 |
|---|---|---|---|
| 2521082 | OTHER ID NUMBER-COMMERCIAL NUM | ||
| 2521082 | OTHER ID NUMBER | ||
| 330691 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Walnut Square Pharmacy Llc by the Centers for Medicare & Medicaid Services?
The Walnut Square Pharmacy Llc has been assigned the NPI (National Provider Identifier) 1578603015. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Walnut Square Pharmacy Llc's physical address?
The Walnut Square Pharmacy Llc is physically located at 124 Walnut Cir, in the city of Hattiesburg, MS, with the postal code 394013500.
What is Walnut Square Pharmacy Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Walnut Square Pharmacy Llc's area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.
On what date did the Walnut Square Pharmacy Llc receive its 1578603015 assignment from the Centers for Medicare & Medicaid Services?
The Walnut Square Pharmacy Llc was assigned its 1578603015 by the Centers for Medicare & Medicaid Services on 2007-02-07.
As of what date were the details pertaining to Walnut Square Pharmacy Llc last refreshed?
The information related to the Walnut Square Pharmacy Llc, including its address, specialty, and other relevant details, was last updated on 2007-09-12.