University Pavilion Pharmacy in Jackson - Clinic Pharmacy
University Pavilion Pharmacy - NPI 1417090093
University Pavilion Pharmacy is a Clinic Pharmacy in Jackson, Mississippi. University Pavilion Pharmacy practices all healthcare services and medical treatments related to Clinic Pharmacy. The NPI Number for University Pavilion Pharmacy is 1417090093. The last update date is 2007-09-07.
University Pavilion Pharmacy's current location address is 1410 E Woodrow Wilson Dr, Jackson, Mississippi. You can contact this provider via phone number 6019842058 and fax number 6019842063. The mailing address for University Pavilion Pharmacy is 1410 E Woodrow Wilson Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Pavilion Pharmacy |
|---|---|
| Address | 1410 E Woodrow Wilson Dr, Jackson, Mississippi |
| Phone Number | 6019842058 |
| Fax Number | 6019842063 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY S |
|---|---|
| Authorized Official Name | Cobb Hartness Susan |
| Credentials | R.PH. |
| Telephone Number | 6019842058 |
NPI Number Detail
| NPI Number | 1417090093 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 1410 E Woodrow Wilson Dr |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39216 |
| Phone Number | 6019842058 |
| Fax Number | 6019842063 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic Pharmacy |
|---|---|
| Taxonomy | 3336C0002X |
| Licence No | 2188 |
|
Definition: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30158 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to University Pavilion Pharmacy by the Centers for Medicare & Medicaid Services?
The University Pavilion Pharmacy has been issued the NPI (National Provider Identifier) 1417090093 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where University Pavilion Pharmacy is located?
The University Pavilion Pharmacy is situated at the following address: 1410 E Woodrow Wilson Dr, Jackson, MS, 39216.
What is University Pavilion Pharmacy's area of expertise and its corresponding taxonomy classification?
The University Pavilion Pharmacy's field of specialization is Clinic Pharmacy, and it falls under the taxonomy code 3336C0002X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417090093 to University Pavilion Pharmacy?
The Centers for Medicare & Medicaid Services originally issued the 1417090093 to University Pavilion Pharmacy on 2007-02-14.
When was the University Pavilion Pharmacy's information last updated?
The University Pavilion Pharmacy's information was last updated on 2007-09-07.
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