Organization
UNIVERSITY OF MISSISSIPPI
Active
Parent organization
UNIVERSITY OF MISSISSIPPI
Other names
Student Health Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF MISSISSIPPI
Authorized official
DR. SANDRA IRENE BENTLEY PHARMD (DIRECTOR OF PHARMACY)
(662) 915-5279
Entity
Organization
Contact information
Practice address
153 REBEL DRIVE, HARRISON BLDG, UNIVERSITY, MS 38677-1848
(662) 915-5279
(662) 915-5292
Mailing address
153 REBEL DRIVE, HARRISON BLDG, UNIVERSITY, MS 38677-1848
(662) 915-5279
(662) 915-5292
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
0222902SU
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2517083
NABP
MS
Enumeration date
09/20/2006
Last updated
03/07/2023
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