Gene Polks Inc
Organization Active NPI Community/Retail Pharmacy · Magee, MS
NPI 1912918558 · NPPES record last updated Dec 1, 2016
Key facts
- NPI
- 1912918558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 00445/1.1 (MS)
- Legal business name
- GENE POLKS INC
- Practice address
- 406 Simpson Highway 149
Magee, MS 39111-3416 - Phone
- (601) 849-2532
- Fax
- (601) 849-2558
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Brinson Polk, RPH
- Title
- Owner
- Phone
- (601) 849-2533
National Provider Directory
Locations
406 Simpson Highway 149
Magee, MS 39111
Phone (601) 849-2532
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 00445/1.1 | MS | Yes |
Addresses
Primary practice location
406 Simpson Highway 149
Magee, MS 39111-3416
Mailing address
406 Simpson Highway 149
Magee, MS 39111-3416
Phone (601) 849-2532
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0033740 | Medicaid | MS | |
| 2043293 | Other | PK |
Other names
- GENE POLKS PHARMACY
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All providers in Magee, MS · Community/Retail Pharmacy in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.