Organization
MISSISSIPPI STATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI S. VEAZEY RPH (PHARMACY DIRECTOR)
(601) 351-8026
Entity
Organization
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193
(601) 351-8000
(601) 351-8255
Mailing address
PO BOX 157A, BUILDING 50 PHARMACY, WHITFIELD, MS 39193-0157
(601) 351-8026
(601) 351-8255
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
01000/03.1
MS
313M00000X
Nursing Facility/Intermediate Care Facility
01000
MS
3336I0012X
Institutional Pharmacy
Primary
01000
MS
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00094048
—
MS
Enumeration date
09/20/2005
Last updated
06/13/2018
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