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Organization
SOUTHERN PHARMACY CLINICAL MANAGEMENT
Active
Organization
SOUTHERN PHARMACY CLINICAL MANAGEMENT
Active
Other names
Southern Pharmacy Rx
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY NERON (PARTNER CEO)
(228) 363-0500
Entity
Organization
Contact information
Practice address
3224 DIJON AVE, OCEAN SPRINGS, MS 39564-8520
(228) 363-0500
(800) 651-3566
Mailing address
3224 DIJON AVE, OCEAN SPRINGS, MS 39564-8520
(228) 363-0500
(800) 651-3566
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1112650
STATE MS BUSINESS ID
MS
Enumeration date
04/10/2017
Last updated
04/10/2017
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