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MS STATE DEPT OF HEALTH NPI 1952525842


NPI Information

NPI: 1952525842
Provider Name: MS STATE DEPT OF HEALTH

Doing Business As: MS STATE DEPT OF HEALTH PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
3156 LAWSON ST
JACKSON, MS
ZIP 39213
Phone: (601) 713-3457
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MS STATE DEPT OF HEALTH is a clinic pharmacy pharmacy in Jackson, 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. MS STATE DEPT OF HEALTH NPI is 1952525842. The provider is registered as an organization entity type.
The provider Is Doing Business As Ms State Dept Of Health Pharmacy.

The provider's business location address is:

3156 LAWSON ST
JACKSON, MS
ZIP 39213-754
Phone: (601) 713-3457
Fax: (601) 364-2670

The provider's authorized official is Margaret Pearson .
The authorized official title is Dir Of Phcy and has the following contact phone number (601) 713-3457.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/19/2018.


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
23336L0003XPharmacyLong Term Care PharmacyNo
33336M0002XPharmacyMail Order PharmacyNo
43336S0011XPharmacySpecialty PharmacyNo
53336C0002XPharmacyClinic Pharmacy01085/5.1MISSISSIPPIYes

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
100030135MEDICAIDMISSISSIPPI
22047531OTHERPK

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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