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Organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITITIVE
Active
Organization
SOUTHEAST MISSISSIPPI RURAL HEALTH INITITIVE
Active
Other names
Pharmacy Assistance Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA WHITE PHARMD. RPH (DIRECTOR OF PHARMACY)
(601) 544-4163
Entity
Organization
Contact information
Practice address
74 OLD AIRPORT ROAD, HATTIESBURG, MS 39401-8382
(601) 544-4163
(601) 544-8627
Mailing address
5488 US HWY 49, HATTIESBURG, MS 39401
(601) 544-4163
(604) 544-8627
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
06374/ 5.2
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06374/5.2
PERMIT# 06374/5.2 - (LIMITED CLOSED DOOR)
MS
01
—
CS06374/5.2
CONTROLLED SUBSTANCE REGISTRATION
MS
Enumeration date
08/29/2013
Last updated
09/09/2026
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