# MS STATE DEPARTMENT OF HEALTH PHARMACY

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

## Provider details

- **NPI number:** 1043434939
- **Authorized official:** DR. MARGARET MCCHESNEY PEARSON PHARMD, MS (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (601) 713-3457

## Contact information

- **Practice address:** 3156 LAWSON STREET, JACKSON, MS 39213
- **Practice address phone:** (601) 713-3457
- **Practice address fax:** (601) 364-2670
- **Mailing address:** 3156 LAWSON STREET, JACKSON, MS 39213
- **Mailing address phone:** (601) 713-3457
- **Mailing address fax:** (601) 364-2670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 01085 05.1 | MS | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336M0002X | Mail Order Pharmacy | 0108505.1 | MS | — |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 01/15/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00090492 | — | MS |
| 01 | — | 2587092 | NCPDP | — |
| 05 | — | 90492 | — | MS |