Organization
PATTERSON PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BURT L. PATTERSON RPH (OWNER)
(228) 875-0158
Entity
Organization
Contact information
Practice address
1121 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-0158
(228) 875-4546
Mailing address
1121 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-0158
(228) 875-4546
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040124
—
MS
Enumeration date
04/23/2008
Last updated
11/28/2012
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