Organization
COVENANT PHARMACY LLC
Active
Other names
COVENANT PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RICHARD WHITWELL PHARMD (MANAGER)
(601) 326-5760
Entity
Organization
Contact information
Practice address
371A HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-6035
(601) 326-5760
(601) 326-5770
Mailing address
371A HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-6035
(601) 326-5760
(601) 326-5770
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
05087
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330627
—
MS
01
—
2046319
PK
—
Enumeration date
07/20/2005
Last updated
02/04/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us