Okolona Pharmacy Llc
Community/Retail Pharmacy
210 W Main St, Okolona
Mississippi, 38860-1425
662-447-0300 662-447-0130
Okolona Pharmacy Llc is a Community/Retail Pharmacy in Okolona, Mississippi. It is located at 210 W Main St, Okolona and it's customer support contact number is 662-447-0300. The authorized person of Okolona Pharmacy Llc is Tony Smith who is Owner of the pharmacy and his contact number is 901-831-8669. Active license number of Okolona Pharmacy Llc is 14335/1.1 for Community/Retail Pharmacy in Mississippi. Okolona Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Okolona Pharmacy Llc 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.
Pharmacy Details:
Okolona Pharmacy Llc 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: | Okolona Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 210 W Main St, Okolona,
Mississippi, 38860-1425 |
| Phone: | 662-447-0300 |
| Fax: | 662-447-0130 |
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: | Tony Smith |
| Position: | Owner |
| Contact Number: | 901-831-8669 |
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: | 1629455431 |
| NPI Enumeration Date: | 30 Apr, 2015 |
| NPI Last Update On: | 23 May, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Okolona Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 14335/1.1 | Mississippi | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Pharmacy | | | Secondary | |
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 |
| 00479277 | Medicaid | Mississippi | |
| 2151821 | Other | | Pk |
Medicare Enrollment:
Okolona Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0446550107 | O20151202000275 | Okolona Pharmacy Llc | PART B SUPPLIER - OTHER |
| 0446550107 | O20160929000954 | Okolona Pharmacy Llc | DME SUPPLIER - PHARMACY |
| 0446550107 | O20170731002763 | Okolona Pharmacy Llc | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 210 W Main St,
Okolona, Mississippi |
| Zip: | 38860-1425 |
| Phone Number: | 662-447-0300 |
Patients can reach Okolona Pharmacy Llc at
210 W Main St, Okolona, Mississippi or can
call on customer care at 662-447-0300.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.