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Organization

REGION IV DESOTO COUNTY PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON RAMEY (EXECUTIVE DIRECTOR)
(662) 286-9883
Entity
Organization

Contact information

Practice address
2705 HIGHWAY 51 S, HERNANDO, MS 38632-2634
(662) 449-4025
(662) 429-3546
Mailing address
2705 HIGHWAY 51 S, HERNANDO, MS 38632-2634
(662) 286-9883

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09421377
MS
Enumeration date
03/04/2013
Last updated
06/06/2025
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