Organization
POMANK VENTURES LLC
Active
Other names
Fairview Pharmacy & Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ACHEAMPONG PHARM/MPH (PIC/OWNER)
(601) 544-4871
Entity
Organization
Contact information
Practice address
500 KATIE AVE, HATTIESBURG, MS 39401-4380
(601) 544-4871
(601) 583-2298
Mailing address
500 KATIE AVE, HATTIESBURG, MS 39401-4380
(601) 544-4871
(601) 583-2298
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
01066/1.1
MS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00095079
—
MS
01
—
2158949
PK
—
Enumeration date
12/18/2006
Last updated
04/09/2026
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