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COVENANT PHARMACY LLC NPI 1851390892


NPI Information

NPI: 1851390892
Provider Name: COVENANT PHARMACY LLC

Doing Business As: COVENANT PHARMACY LLC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
371A HIGHLAND COLONY PKWY
RIDGELAND, MS
ZIP 39157
Phone: (601) 326-5760
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COVENANT PHARMACY LLC is a long term care pharmacy pharmacy in Ridgeland, MS. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. COVENANT PHARMACY LLC NPI is 1851390892. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant Pharmacy Llc.

The provider's business location address is:

371A HIGHLAND COLONY PKWY
RIDGELAND, MS
ZIP 39157-035
Phone: (601) 326-5760
Fax: (601) 326-5770

The provider's authorized official is William Richard Whitwell .
The authorized official title is Manager and has the following contact phone number (601) 326-5760.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 2/4/2022.


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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy05087MISSISSIPPIYes

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
12046319OTHERPK
200330627MEDICAIDMISSISSIPPI

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: 4/28/2024

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