Controlex Enterprises, Inc., NPI 1376620898
Pharmacy in Vancleave, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1376620898
NPI Entity Type Organization
Provider Name Controlex Enterprises, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 11936 Highway 57, Vancleave, MS, US
Provider Mailing Address 1420 Ingalls Ave, Pascagoula, MS, US, 395675650
Is Sole Proprietor? No
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Organization Official

Official Name MS. Modena S Cannon
Official Position PHARMACY OPERATIONS MANAGER
Phone 228-769-7067

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 01145/01.2
License State MS
Description A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Other Organization Name

VANCLEAVE SAV-REX #637
Doing Business As

Business Address

Controlex Enterprises, Inc.
11936 Highway 57

Vancleave, MS, US

Phone: 228-826-4403
Fax: 228-826-5165

Mailing Address

Controlex Enterprises, Inc.
1420 Ingalls Ave
Pascagoula, MS, US
ZIP 395675650
Phone: 228-769-7067
Fax: 228-762-1756

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
00330424 MS MEDICAID 05
2510560 MS NCPDP 01

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