Provider Demographics
NPI:1164968624
Name:SAVER EXPRESS LLC
Entity Type:Organization
Organization Name:SAVER EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FORD
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-990-9497
Mailing Address - Street 1:1051 HIGHLAND COLONY PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-7701
Mailing Address - Country:US
Mailing Address - Phone:601-368-8907
Mailing Address - Fax:800-843-9320
Practice Address - Street 1:1051 HIGHLAND COLONY PKWY STE C
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-7701
Practice Address - Country:US
Practice Address - Phone:601-368-8907
Practice Address - Fax:800-843-9320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
MS15113/1.13336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2167226OtherPK