Organization
MEDI START INC
Active
Other names
MEDISTART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KHALID MOKHTAR RPH (PRESIDENT)
(601) 899-5621
Entity
Organization
Contact information
Practice address
3188 W NORTHSIDE DR, JACKSON, MS 39213-4516
(601) 321-8883
(601) 321-0981
Mailing address
3188 W NORTHSIDE DR, JACKSON, MS 39213-4516
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
0695011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06133579
—
MS
01
—
2586660
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
09/12/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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