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Organization
SPORTS MEDICINE PHARMACY LLC
Active
Organization
SPORTS MEDICINE PHARMACY LLC
Active
Other names
Sports Medicine Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER GREGORY MCLAURIN (DIRECTOR OF PHARMACY SERVICES)
(601) 949-9105
Entity
Organization
Contact information
Practice address
4506 LAKELAND DR, FLOWOOD, MS 39232-9583
(601) 949-9105
(601) 351-5974
Mailing address
4506 LAKELAND DR, FLOWOOD, MS 39232-9583
(601) 949-9105
(601) 351-5974
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
14908
MS
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06600515
—
MS
01
—
2162491
PK
—
Enumeration date
08/19/2016
Last updated
10/23/2025
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