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Organization
MISSISSIPPI STATE UNIVERSITY
Active
Organization
MISSISSIPPI STATE UNIVERSITY
Active
Other names
Longest Student Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TODD HALE (DIRECTOR, FISCAL OPERATIONS, STUDEN)
(662) 325-5895
Entity
Organization
Contact information
Practice address
360 HARDY ROAD, MISSISSIPPI STATE, MS 39762
(662) 325-2431
(662) 325-8888
Mailing address
PO BOX 6338, MISSISSIPPI STATE, MS 39762-6338
(662) 325-2431
(662) 325-8888
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
12/19/2005
Last updated
08/14/2026
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