Organization
SOUTHERN PHARMACY CLINICAL MANAGEMENT
Active
Other names
Southern Pharmacy Rx
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY NERON (PARTNER CEO)
(228) 363-0500
Entity
Organization
Contact information
Practice address
3224 DIJON AVE, OCEAN SPRINGS, MS 39564-8520
(228) 363-0500
(800) 651-3566
Mailing address
3224 DIJON AVE, OCEAN SPRINGS, MS 39564-8520
(228) 363-0500
(800) 651-3566
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1112650
STATE MS BUSINESS ID
MS
Enumeration date
04/10/2017
Last updated
04/10/2017
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