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NORTH MS. MEDICAL CENTER OUTPATIENT PHARMACY NPI 1295711281


NPI Information

NPI: 1295711281
Provider Name: NORTH MS. MEDICAL CENTER OUTPATIENT PHARMACY

Doing Business As: NMMC EMPLOYEE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
609 GARFIELD ST
SUITE A
TUPELO, MS
ZIP 38801
Phone: (662) 377-5749
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NORTH MS. MEDICAL CENTER OUTPATIENT PHARMACY is a pharmacy in Tupelo, 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. NORTH MS. MEDICAL CENTER OUTPATIENT PHARMACY NPI is 1295711281. The provider is registered as an organization entity type.
The provider Is Doing Business As Nmmc Employee Pharmacy.

The provider's business location address is:

609 GARFIELD ST
SUITE A
TUPELO, MS
ZIP 38801-337
Phone: (662) 377-5749
Fax: (662) 377-3685

The provider's authorized official is Charles (chuck) Terrell Gholson .
The authorized official title is Pharmacist and has the following contact phone number (662) 377-5749.

The enumeration date for this NPI number is 12/21/2005 and was last updated on 8/22/2020.


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
1333600000XPharmacy02700/02.0MISSISSIPPIYes

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
12507373OTHERMISSISSIPPINABP#
200030237MEDICAIDMISSISSIPPI

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: 4/28/2024

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