# SCPG MISSISSIPPI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Express Rx of Union
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609427533
- **Authorized official:** UMAR FAROOQ (PRESIDENT)
- **Authorized official phone:** (501) 392-8680

## Contact information

- **Practice address:** 801 E JACKSON RD, UNION, MS 39365-2213
- **Practice address phone:** (601) 774-8283
- **Practice address fax:** (601) 774-8284
- **Mailing address:** PO BOX 7791, LITTLE ROCK, AR 72217-7791
- **Mailing address phone:** (501) 258-4399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2019
- **Last updated:** 11/18/2025
