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PHARMAKEUS INC NPI 1174695233


NPI Information

NPI: 1174695233
Provider Name: PHARMAKEUS INC

Doing Business As: MARTYS PHARMACY AND COMPOUNDING CENTER

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1042 RIVER OAKS DR
FLOWOOD, MS
ZIP 39232
Phone: (601) 932-2027
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PHARMAKEUS INC is a community/retail pharmacy pharmacy in Flowood, MS. The provider is 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PHARMAKEUS INC NPI is 1174695233. The provider is registered as an organization entity type.
The provider Is Doing Business As Martys Pharmacy And Compounding Center.

The provider's business location address is:

1042 RIVER OAKS DR
FLOWOOD, MS
ZIP 39232-594
Phone: (601) 932-2027
Fax: (601) 936-2166

The provider's authorized official is Ronnie Bagwell .
The authorized official title is Owner And President and has the following contact phone number (601) 932-2027.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 3/1/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy01771/1.1MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100330225MEDICAIDMISSISSIPPI
22044831OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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