Organization
MS STATE DEPARTMENT OF HEALTH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET MCCHESNEY PEARSON PHARMD, MS (DIRECTOR OF PHARMACY)
(601) 713-3457
Entity
Organization
Contact information
Practice address
3156 LAWSON STREET, JACKSON, MS 39213
(601) 713-3457
(601) 364-2670
Mailing address
3156 LAWSON STREET, JACKSON, MS 39213
(601) 713-3457
(601) 364-2670
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
01085 05.1
MS
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
0108505.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00090492
—
MS
01
—
2587092
NCPDP
—
05
—
90492
—
MS
Enumeration date
04/12/2007
Last updated
01/15/2019
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