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SOUTHWEST DRUGSTORE OF MS INC NPI 1750421293


NPI Information

NPI: 1750421293
Provider Name: SOUTHWEST DRUGSTORE OF MS INC

Doing Business As: SOUTHWEST DRUG STORE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1601 ADELINE ST
HATTIESBURG, MS
ZIP 39401
Phone: (601) 582-2481
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SOUTHWEST DRUGSTORE OF MS INC is a community/retail pharmacy pharmacy in Hattiesburg, 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. SOUTHWEST DRUGSTORE OF MS INC NPI is 1750421293. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Drug Store.

The provider's business location address is:

1601 ADELINE ST
HATTIESBURG, MS
ZIP 39401-267
Phone: (601) 582-2481
Fax: (601) 545-3662

The provider's authorized official is Osher Moore .
The authorized official title is Owner and has the following contact phone number (601) 898-7885.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 9/25/2007.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy0077500MISSISSIPPIYes

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
12500913OTHEROTHER ID NUMBER
22500913OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
30036251MEDICAIDMISSISSIPPI

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

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