Gautier Sav Rex #634 is not a DME supplier for medicare equipments and products.
Gautier Sav Rex #634 is a Pharmacy in Gautier, Mississippi. This pharmacy is owned and operated by Controlex Enterprises, Inc.. It is located at 2307 Highway 90, Gautier and it's customer support contact number is 228-497-4090. The authorized person of Gautier Sav Rex #634 is Ms. Modena S Cannon who is Pharmacy Operations Manager of the pharmacy and her contact number is 228-769-7067. Active license number of Gautier Sav Rex #634 is 00839/01.2 for Pharmacy in Mississippi. Gautier Sav Rex #634 is 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.
Pharmacy Details:
Gautier Sav Rex #634 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Gautier Sav Rex #634
Type:
Pharmacy
Location:
2307 Highway 90, Gautier, Mississippi, 39553-5231
Phone:
228-497-4090
Fax:
228-762-1756
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Ms. Modena S Cannon
Position:
Pharmacy Operations Manager
Contact Number:
228-769-7067
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1376628792
NPI Enumeration Date:
25 Oct, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gautier Sav Rex #634 are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
00839/01.2
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0091839
Medicaid
Mississippi
2503476
Other
Mississippi
Ncpdp
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1420 Ingalls Ave, Pascagoula, Mississippi
Zip:
39567-5650
Phone Number:
228-769-7067
Fax Number:
228-762-1756
Patients can reach Gautier Sav Rex #634 at 2307 Highway 90, Gautier, Mississippi or can call on customer care at 228-497-4090.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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