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Organization

MMSS ANCILLARY SERVICES INC

Active
Other names
Senior Rx
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE SULLIVAN (DIRECTOR OF PHARMACY SERVICES)
(662) 840-1022
Entity
Organization

Contact information

Practice address
2800 W MAIN ST, TUPELO, MS 38801-3027
(662) 840-1022
(662) 844-4677
Mailing address
2800 W MAIN ST, TUPELO, MS 38801-3027
(662) 840-1022
(662) 840-4677

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
10146/2.3
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2133265
PK
Enumeration date
12/29/2011
Last updated
11/18/2016
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