Organization
NEWSOUTH NEUROSPINE LLC
Active
Other names
Advanced RX Pharmacy 024
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA HANSEN PHARMD (PHARMACIST IN CHARGE)
(601) 420-1950
Entity
Organization
Contact information
Practice address
2470 FLOWOOD DR, FLOWOOD, MS 39232-9019
(601) 983-2840
(601) 983-2845
Mailing address
2470 FLOWOOD DR, FLOWOOD, MS 39232-9019
(601) 420-1950
(601) 420-1951
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
1270111
MS
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05430554
—
MS
01
—
2142793
PK
—
Enumeration date
10/30/2013
Last updated
10/29/2020
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