Organization
MS STATE DEPARTMENT OF HEALTH PHARMACY
Active
Organization
MS STATE DEPARTMENT OF HEALTH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET MCCHESNEY PEARSON PHARMD, MS (DIRECTOR OF PHARMACY)
(601) 713-3457
Entity
Organization
Contact information
Practice address
3156 LAWSON STREET, JACKSON, MS 39213
(601) 713-3457
(601) 364-2670
Mailing address
3156 LAWSON STREET, JACKSON, MS 39213
(601) 713-3457
(601) 364-2670
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
01085 05.1
MS
3336H0001X
Home Infusion Therapy Pharmacy
Primary
0108505.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00030330
—
MS
01
—
2587105
NCPDP
—
05
—
30330
—
MS
Enumeration date
04/12/2007
Last updated
06/16/2011
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