GENTEX PHARMA LLC
NPI 1114373586
Non-Pharmacy Dispensing Site in Ridgeland, MS
- Organization
- Non-Pharmacy Dispensing Site
About GENTEX PHARMA LLC
This page provides the complete NPI Profile along with additional information for Gentex Pharma Llc, a provider established in Ridgeland, Mississippi operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1114373586 assigned on May 2016. The practitioner's primary taxonomy code is 332900000X with license number 06677/6.1 (MS). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Gentex Pharma Llc. The authorized official of this NPI record is Ford Jennings Mundy Person In Charge (Owner)
- NPI
- 1114373586 Verify this NPI
- Provider Legal Name
- GENTEX PHARMA
- Other Organization Name
- GENTEX PHARMA LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 121 MARKETRIDGE DR SUITE C RIDGELAND, MS 39157
- Location Phone
- (601) 990-9497
- Location Fax
- (601) 510-9318
- Mailing Address
- 121 MARKETRIDGE DR SUITE C RIDGELAND, MS 39157
- Mailing Phone
- (601) 990-9497
- Mailing Fax
- (601) 510-9318
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-04-2016
- Last Update Date
- 05-04-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- 06677/6.1
- License State
- MS
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114373586, enumerated as an "organization" on May 04, 2016.
The provider is located at 121 MARKETRIDGE DR SUITE C RIDGELAND, MS 39157 and the phone number is (601) 990-9497.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
