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ECONOMIC STIMULUS ACT STUDENT LOAN REFUND 1200 DOLLARS NPI 1255999835


NPI Information

NPI: 1255999835
Provider Name: ECONOMIC STIMULUS ACT STUDENT LOAN REFUND 1200 DOLLARS

Former Legal Business Name: ECONOMIC STIMULUS ACT STUDENT LOAN REFUND 1200 DOLLARS

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
5001 HARDY ST STE 8
HATTIESBURG, MS
ZIP 39402
Phone: (601) 307-5339
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ECONOMIC STIMULUS ACT STUDENT LOAN REFUND 1200 DOLLARS is a pharmacy in Hattiesburg, 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. ECONOMIC STIMULUS ACT STUDENT LOAN REFUND 1200 DOLLARS NPI is 1255999835. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Economic Stimulus Act Student Loan Refund 1200 Dollars.

The provider's business location address is:

5001 HARDY ST STE 8
HATTIESBURG, MS
ZIP 39402-308
Phone: (601) 307-5339

The provider's authorized official is Jacob Cornelius Parker .
The authorized official title is Specialist Technologist and has the following contact phone number (650) 253-0000.

The enumeration date for this NPI number is 5/30/2019 and was last updated on 9/30/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QG0250XClinic/CenterGeneticsNo
3261QS1000XClinic/CenterStudent HealthNo
4293D00000XPhysiological LaboratoryNo
5333600000XPharmacyYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1587539997MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.