Organization
PATTERSONS PHARMACY CO INC
Active
Other names
PATTERSONS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BURT PATTERSON RPH (PRES AND PHARM)
(228) 875-0158
Entity
Organization
Contact information
Practice address
1121 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-0158
(228) 875-2266
Mailing address
1121 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-0158
(228) 875-2266
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
01125
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093556
—
MS
01
—
2508565
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/06/2006
Last updated
03/10/2010
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