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Organization

MISSISSIPPI STATE UNIVERSITY

Active
Other names
Longest Student Health Center Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM L KIBLER PHD (VICE PRESIDENT FOR STUDENT AFFAIRS)
(662) 325-3045
Entity
Organization

Contact information

Practice address
2 HARDY ROAD, MISSISSIPPI STATE, MS 39762
(662) 325-2431
(662) 325-8888
Mailing address
PO BOX 6338, MISSISSIPPI STATE, MS 39762
(662) 325-2431
(662) 325-8888

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary

Other

Enumeration date
12/19/2005
Last updated
08/22/2020
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