Organization
DOWNTOWN PHARMACY
Active
Other names
Downtown pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE HERNANDEZ (PHARMACIST)
(601) 544-7111
Entity
Organization
Contact information
Practice address
511 W LAUREL AVE, HATTIESBURG, MS 39401-3504
(601) 544-7111
(601) 544-7154
Mailing address
511 W LAUREL AVE, HATTIESBURG, MS 39401-3504
(601) 544-7111
(601) 544-7154
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
09182/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05232866
—
MS
01
—
2132768
PK
—
Enumeration date
11/28/2011
Last updated
02/14/2017
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