Organization
SPORTS MEDICINE PHARMACY LLC
Active
Other names
Sports Medicine Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER GREGORY MCLAURIN (DIRECTOR OF PHARMACY SERVICES)
(601) 949-9105
Entity
Organization
Contact information
Practice address
4506 LAKELAND DR, FLOWOOD, MS 39232-9583
(601) 949-9105
(601) 351-5974
Mailing address
4506 LAKELAND DR, FLOWOOD, MS 39232-9583
(601) 949-9105
(601) 351-5974
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
14908
MS
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06600515
—
MS
01
—
2162491
PK
—
Enumeration date
08/19/2016
Last updated
10/23/2025
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