Emmanuel Ridge Comm Phcy in Florence - Community/retail Pharmacy

Emmanuel Ridge Comm Phcy - NPI 1073524583

Emmanuel Ridge Comm Phcy is a Community/retail Pharmacy in Florence, Mississippi. Emmanuel Ridge Comm Phcy practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Emmanuel Ridge Comm Phcy is 1073524583. The last update date is 2020-08-22.

Emmanuel Ridge Comm Phcy's current location address is 2073 Highway 49 S, Florence, Mississippi. You can contact this provider via phone number 6018453544 and fax number 6018453636. The mailing address for Emmanuel Ridge Comm Phcy is 2073 Highway 49 S, Florence, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Emmanuel Ridge Comm Phcy
Address 2073 Highway 49 S, Florence, Mississippi
Phone Number 6018453544
Fax Number 6018453636
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ezem Beatrice
Credentials RN CM CLNC
Telephone Number 6019279839

NPI Number Detail

NPI Number 1073524583
Provider Enumeration Date 2006-08-10
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2073 Highway 49 S
City Florence
State Mississippi (MS)
Post Code 390739422
Phone Number 6018453544
Fax Number 6018453636

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 6939011
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2586622 OTHER ID NUMBER-COMMERCIAL NUM

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FAQs about Emmanuel Ridge Comm Phcy

What is the unique identifier code issued to Emmanuel Ridge Comm Phcy by the Centers for Medicare & Medicaid Services?

The Emmanuel Ridge Comm Phcy has been assigned the NPI (National Provider Identifier) 1073524583. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Emmanuel Ridge Comm Phcy is physically located?

The Emmanuel Ridge Comm Phcy is physically situated at the following address: 2073 Highway 49 S, Florence, MS, 390739422.

What is Emmanuel Ridge Comm Phcy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Emmanuel Ridge Comm Phcy is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.

On what date did Emmanuel Ridge Comm Phcy receive its 1073524583 assignment from the Centers for Medicare & Medicaid Services?

The Emmanuel Ridge Comm Phcy was assigned its 1073524583 on 2006-08-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Emmanuel Ridge Comm Phcy last refreshed?

The information related to the Emmanuel Ridge Comm Phcy, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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