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OKOLONA PHARMACY LLC NPI 1629455431


NPI Information

NPI: 1629455431
Provider Name: OKOLONA PHARMACY LLC

Doing Business As: OKOLONA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
210 W MAIN ST
OKOLONA, MS
ZIP 38860
Phone: (662) 447-0300
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OKOLONA PHARMACY LLC is a community/retail pharmacy pharmacy in Okolona, 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. OKOLONA PHARMACY LLC NPI is 1629455431. The provider is registered as an organization entity type.
The provider Is Doing Business As Okolona Pharmacy.

The provider's business location address is:

210 W MAIN ST
OKOLONA, MS
ZIP 38860-425
Phone: (662) 447-0300
Fax: (662) 447-0130

The provider's authorized official is Tony Smith .
The authorized official title is Owner and has the following contact phone number (901) 831-8669.

The enumeration date for this NPI number is 4/30/2015 and was last updated on 5/23/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy14335/1.1MISSISSIPPIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100479277MEDICAIDMISSISSIPPI
22151821OTHERPK

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: 5/5/2024

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