State Of Mississippi-University Of Mississippi Medical Center in Jackson - Pharmacy
State Of Mississippi-University Of Mississippi Medical Center - NPI 1932144342
State Of Mississippi-University Of Mississippi Medical Center is a Pharmacy in Jackson, Mississippi. State Of Mississippi-University Of Mississippi Medical Center practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for State Of Mississippi-University Of Mississippi Medical Center is 1932144342. The last update date is 2020-11-11.
State Of Mississippi-University Of Mississippi Medical Center's current location address is 350 W Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6018153857 and fax number 6018158901. The mailing address for State Of Mississippi-University Of Mississippi Medical Center is 350 W Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Mississippi-University Of Mississippi Medical Center |
|---|---|
| Address | 350 W Woodrow Wilson Ave, Jackson, Mississippi |
| Phone Number | 6018153857 |
| Fax Number | 6018158901 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Dancer Steven |
| Credentials | PHARM.D. |
| Telephone Number | 6018158902 |
NPI Number Detail
| NPI Number | 1932144342 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2020-11-11 |
Provider Mailing Address Detail
| Address | 350 W Woodrow Wilson Ave |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392137681 |
| Phone Number | 6018153857 |
| Fax Number | 6018158901 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 4116 |
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Definition: 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 presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 330385 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to State Of Mississippi-University Of Mississippi Medical Center by the Centers for Medicare & Medicaid Services (CMS)?
The State Of Mississippi-University Of Mississippi Medical Center has been assigned the NPI (National Provider Identifier) 1932144342. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the State Of Mississippi-University Of Mississippi Medical Center's physical address?
The State Of Mississippi-University Of Mississippi Medical Center is physically located at 350 W Woodrow Wilson Ave, in the city of Jackson, MS, with the postal code 392137681.
What is State Of Mississippi-University Of Mississippi Medical Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The State Of Mississippi-University Of Mississippi Medical Center's area of specialization is Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 333600000X.
On what date did the State Of Mississippi-University Of Mississippi Medical Center receive the assignment of its 1932144342 from the Centers for Medicare & Medicaid Services?
The State Of Mississippi-University Of Mississippi Medical Center was issued its 1932144342 by the Centers for Medicare & Medicaid Services on 2006-06-19.
When was the information regarding State Of Mississippi-University Of Mississippi Medical Center most recently updated?
The details pertaining to the State Of Mississippi-University Of Mississippi Medical Center, including its address, specialty, and other relevant information, were last refreshed on 2020-11-11.