Organization
EAST MISSISSIPPI STATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R MCKAY RPH (PHARMACIST)
(601) 581-7818
Entity
Organization
Contact information
Practice address
1818 COLLEGE DRIVE, MERIDIAN, MS 39307-5429
(601) 581-7818
(601) 581-7822
Mailing address
1818 COLLEGE DRIVE, MERIDIAN, MS 39307-5429
(601) 581-7818
(601) 581-7822
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
—
MS
333600000X
Pharmacy
01108031
MS
3336I0012X
Institutional Pharmacy
Primary
01108031
MS
3336L0003X
Long Term Care Pharmacy
01108031
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330069
—
MS
01
—
2517689
NCPDP
—
Enumeration date
01/18/2007
Last updated
05/14/2024
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