SPORTS MEDICINE PHARMACY LLC NPI 1912452921

NPI Information

SPORTS MEDICINE PHARMACY LLC is a pharmacy in Jackson, MS. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SPORTS MEDICINE PHARMACY LLC NPI is 1912452921. The provider is registered as an organization entity type.
The provider Is Doing Business As Sports Medicine Pharmacy.

The provider's business location address is:

1325 E FORTIFICATION ST
JACKSON, MS
ZIP 39202-442
Phone: (601) 354-4488
Fax: (769) 777-6390

The provider's authorized official is Randy Calvert .
The authorized official title is Registered Pharmacist and has the following contact phone number (601) 672-1534.

The enumeration date for this NPI number is 8/19/2016 and was last updated on 1/13/2017.

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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