NPI: 1982761367
Provider Name: NORTHEAST MENTAL HEALTH MENTAL RETARDATION COMMISSION
Doing Business As: LIFECORE PHARMACY, AMORY
Classification: Pharmacy - 3336C0003X
Entity Type: Organization
Specialization: Community/Retail Pharmacy
CLIA Number: 25D2134803
Address:
317 MAIN ST N
AMORY, MS
ZIP 38821
Phone: (662) 634-4347
Get Directions
NORTHEAST MENTAL HEALTH MENTAL RETARDATION COMMISSION is a community/retail pharmacy pharmacy in Amory, MS. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. NORTHEAST MENTAL HEALTH MENTAL RETARDATION COMMISSION NPI is 1982761367. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifecore Pharmacy, Amory.
The provider's business location address is:
317 MAIN ST N
AMORY, MS
ZIP 38821-420
Phone: (662) 634-4347
Fax: (662) 256-5567
The provider's authorized official is Van Watson .
The authorized official title is Vp Of Pharmacy Division and has the following contact phone number (662) 634-4347.
The CLIA number assigned to this NPI record is 25D2134803 - rural health clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/19/2018.