# MMSS ANCILLARY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Senior Rx
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245509728
- **Authorized official:** VALERIE SULLIVAN (DIRECTOR OF PHARMACY SERVICES)
- **Authorized official phone:** (662) 840-1022

## Contact information

- **Practice address:** 2800 W MAIN ST, TUPELO, MS 38801-3027
- **Practice address phone:** (662) 840-1022
- **Practice address fax:** (662) 844-4677
- **Mailing address:** 2800 W MAIN ST, TUPELO, MS 38801-3027
- **Mailing address phone:** (662) 840-1022
- **Mailing address fax:** (662) 840-4677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 10146/2.3 | MS | Yes |

## Other

- **Enumeration date:** 12/29/2011
- **Last updated:** 11/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2133265 | PK | — |