Mr Stanley Berry, is a
Pharmacist based in Hollandale, Mississippi. Mr Stanley Berry is licensed to practice in Mississippi (license number E06479) and his current practice location is
100 W Washington St, Hollandale, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 827-5561.
NPI number for Mr Stanley Berry is 1619440708 and his current mailing address is 100 W Washington St, Hollandale, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619440708.
Healthcare Provider's Profile
| Full Name | Mr Stanley Berry |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 100 W Washington St, Hollandale, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619440708
- Provider Enumeration Date: 01/10/2019
- Last Update Date: 01/10/2019
Medical Identifiers
Medical identifiers for Mr Stanley Berry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619440708 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | E06479 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Stanley Berry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Stanley Berry,
100 W Washington St,
Hollandale, MS 38748-3846
Ph: () - | Mr Stanley Berry,
100 W Washington St,
Hollandale, MS 38748-3846
Ph: (662) 827-5561 |
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