# N.M.R.C. PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033102884
- **Authorized official:** MR. JASON IVY (BUSINESS DIRECTOR)
- **Authorized official phone:** (662) 513-7690

## Contact information

- **Practice address:** 967 REGIONAL CENTER DR, OXFORD, MS 38655
- **Practice address phone:** (662) 234-1476
- **Practice address fax:** (662) 234-1699
- **Mailing address:** 967 REGIONAL CENTER DR, OXFORD, MS 38655-3551
- **Mailing address phone:** (662) 234-1476
- **Mailing address fax:** (662) 234-1699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 00959/03.1 | MS | — |
| 3336L0003X | Long Term Care Pharmacy | — | MS | Yes |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 06/14/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00030418 | — | MS |
| 01 | — | 25-19188 | NABP | MS |