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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