Park Place Pharmacy is an authorized DME supplier for medicare equipments and products.
Park Place Pharmacy is a Community/Retail Pharmacy in Petal, Mississippi. This pharmacy is owned and operated by South Mississippi Pharmacists. It is located at 46 Parkway Ln, Petal and it's customer support contact number is 601-450-3673. The authorized person of Park Place Pharmacy is Brent Lindley, PHARM.D. who is Owner of the pharmacy and his contact number is 601-450-3673. Active license number of Park Place Pharmacy is 090361.1 for Community/Retail Pharmacy in Mississippi. Park Place Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Park Place Pharmacy 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:
Park Place Pharmacy 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:
Park Place Pharmacy
Type:
Community/Retail Pharmacy
Location:
46 Parkway Ln, Petal, Mississippi, 39465-3035
Phone:
601-450-3673
Fax:
888-959-2285
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:
Brent Lindley
Credentials:
PHARM.D.
Position:
Owner
Contact Number:
601-450-3673
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:
1336433473
NPI Enumeration Date:
07 Jun, 2011
NPI Last Update On:
16 Jul, 2019
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Park Place Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
090361.1
Mississippi
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Pharmacy
Secondary
Compounding Pharmacy
Secondary
Long Term Care 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
07904554
Medicaid
Mississippi
2131489
Other
Pk
Medicare Enrollment:
Park Place Pharmacy 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
4284862392
O20140117001568
South Mississippi Pharmacists Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
46 Parkway Ln, Petal, Mississippi
Zip:
39465-3035
Phone Number:
601-450-3673
Fax Number:
888-959-2285
Patients can reach Park Place Pharmacy at 46 Parkway Ln, Petal, Mississippi or can call on customer care at 601-450-3673.
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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