THOMAS PHARMACY GARDINER CENTER, LLC


Address: 733 Limbert St, Laurel, MS 39440-5246
Phone: 6013422273

THOMAS PHARMACY GARDINER CENTER, LLC (NPI# 1134473234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134473234
Entity Type Organization
Organization Name THOMAS PHARMACY GARDINER CENTER, LLC
Other Organization Name THOMAS PHARMACY MEDICAL SUPPLY
Practice Address 733 Limbert St
Laurel
MS 39440-5246
Mailing Address Po Box 4111
170 Beacon Street
Laurel
MS 39441-4111
Practice Telephone 6013422273
Practice Fax Number 6016516125
Mailing Telephone 6014285977
Mailing Fax Number 6015185306
Enumeration Date 2012-10-29
Last Update Date 2016-12-01
Authorized Official Name LARRY EUGENE THOMAS (OWNER)
Authorized Official Telephone 6014285977
Authorized Official Credential RPH
Is Organization Subpart Y
Parent Organization Name THOMAS PHARMACY GARDINER CENTER, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies 11692/11.1 MS Suppliers

Other Provider/Organization Names

Other Name Type Code
Thomas Pharmacy Medical Supply Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1831410638 Thomas Pharmacy Gardiner Center, LLC Pharmacy 2341 Hwy 15 North, Laurel, MS 39441-4111 2010-06-15

Office Location

Street Address 733 LIMBERT ST
City LAUREL
State MS
Zip Code 39440-5246

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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

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1457772014 Miracle Medical Supply, LLC Durable Medical Equipment & Medical Supplies 111 Ellisville Blvd, Laurel, MS 39440-4519 2013-12-30
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Competitor

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City LAUREL
Zip Code 39440

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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