Organization
NATIONAL PHARMACY OF MISSISSIPPI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL THOMAS MAHFOUZ (MANAGING MEMBER)
(769) 235-4141
Entity
Organization
Contact information
Practice address
371B HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-6035
(769) 235-4141
(769) 235-7162
Mailing address
371B HIGHLAND COLONY PKWY, RIDGELAND, MS 39157-6035
(769) 235-4141
(769) 235-7162
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
10/21/2019
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