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Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Other names
UMHC Care Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GRIMSLEY (ASSOCIATE CFO - CLINICAL OPERATIONS)
(601) 815-6270
Entity
Organization
Contact information
Practice address
2500 N STATE ST, H120, JACKSON, MS 39216-4500
(601) 815-1686
(601) 815-1689
Mailing address
2500 N STATE ST, H120, JACKSON, MS 39216-4500
(601) 815-1686
(601) 815-1689
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
07796/05.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119027
PK
—
Enumeration date
02/17/2009
Last updated
02/13/2025
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