UNIVERSITY OF SOUTHERN MISSISSIPPI is a clinic pharmacy pharmacy in Hattiesburg, MS. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. UNIVERSITY OF SOUTHERN MISSISSIPPI NPI is 1750402798. The provider is registered as an organization entity type.
The provider Is Doing Business As B Emmeline Smith Clinic.
The provider's business location address is:
118 COLLEGE DR
STE 5066
HATTIESBURG, MS
ZIP 39406-002
Phone: (601) 266-4075
Fax: (601) 266-4205
The provider's authorized official is Celeste Tisdale .
The authorized official title is Phcy Mngr and has the following contact phone number (601) 266-4075.
The CLIA number assigned to this NPI record is 25D2189870 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/3/2007 and was last updated on 7/14/2010.