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Organization
MS STATE DEPARTMENT OF HEALTH PHARMACY
Active
Organization
MS STATE DEPARTMENT OF HEALTH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET MCCHESNEY PEARSON PHARMD, MS (DIRECTOR OF PHARMACY)
(601) 713-3457
Entity
Organization
Contact information
Practice address
3156 LAWSON STREET, JACKSON, MS 39213
(601) 713-3457
(601) 364-2670
Mailing address
3156 LAWSON STREET, JACKSON, MS 39213
(601) 713-3457
(601) 364-2670
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
01085 05.1
MS
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
3336M0002X
Mail Order Pharmacy
0108505.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00090492
—
MS
01
—
2587092
NCPDP
—
05
—
90492
—
MS
Enumeration date
04/12/2007
Last updated
01/15/2019
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