MISSISSIPP STATE DEPARTMENT OF HEALTH NPI 1376606582

NPI Information

MISSISSIPP STATE DEPARTMENT OF HEALTH is a long term care pharmacy pharmacy in Jackson, MS. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MISSISSIPP STATE DEPARTMENT OF HEALTH NPI is 1376606582. The provider is registered as an organization entity type.

The provider's business location address is:

3156 LAWSON STREET
JACKSON, MS
ZIP 39213
Phone: (601) 713-3457
Fax: (601) 364-2670

The provider's authorized official is Felicia Shanee Liddell .
The authorized official title is Pharmacy Technician and has the following contact phone number (601) 713-3457.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 12/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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