NPI 1023195542

Controlex Enterprises, INC

Organisation Pharmacy Moss Point, MS

Practice location

Address: 7818 Highway 613, Moss Point, MS 39563-9315
Phone: (228) 475-6912
Fax: (228) 475-6763
Mailing address: 1420 Ingalls Ave, Pascagoula, MS 39567-5650

Authorised official

Name: Modena S Cannon
Title: Pharmacy Operations Manager
Phone: (228) 769-7067

Registered specialties

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence 00840/01.2 (MS)

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Registry record

NPI: 1023195542
Entity type: Organization
NPI issued: 1 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.