# PHARMACY GROUP OF MISSISSIPPI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pharmacy Partners of Mississippi
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699182444
- **Authorized official:** MR. RONNIE JAMES CANNON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (601) 499-2460

## Contact information

- **Practice address:** 136 ENTERPRISE DR, MADISON, MS 39110-8701
- **Practice address phone:** (601) 499-2460
- **Practice address fax:** (601) 499-2461
- **Mailing address:** 136 ENTERPRISE DR, MADISON, MS 39110-8701
- **Mailing address phone:** (601) 499-2460
- **Mailing address fax:** (601) 499-2461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2014
- **Last updated:** 04/24/2025