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Organization

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Active
Other names
UMMC Colony Park Retail Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY GRIMSLEY (ASSOCIATE CFO - CLINICAL OPERATIONS)
(601) 815-6270
Entity
Organization

Contact information

Practice address
1224 UMMC WAY, RIDGELAND, MS 39157
(601) 984-1000
Mailing address
504 CLINTON CENTER DRIVE, CBO SUITE 4300, CLINTON, MS 39056
(601) 815-2005

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
05/06/2024
Last updated
09/19/2025
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