# DOWNTOWN PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Downtown pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336416973
- **Authorized official:** CHARLENE HERNANDEZ (PHARMACIST)
- **Authorized official phone:** (601) 544-7111

## Contact information

- **Practice address:** 511 W LAUREL AVE, HATTIESBURG, MS 39401-3504
- **Practice address phone:** (601) 544-7111
- **Practice address fax:** (601) 544-7154
- **Mailing address:** 511 W LAUREL AVE, HATTIESBURG, MS 39401-3504
- **Mailing address phone:** (601) 544-7111
- **Mailing address fax:** (601) 544-7154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 09182/1.1 | MS | Yes |

## Other

- **Enumeration date:** 11/28/2011
- **Last updated:** 02/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05232866 | — | MS |
| 01 | — | 2132768 | PK | — |