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Organization

MS STATE DEPT OF HEALTH

Active
Other names
MS STATE DEPT OF HEALTH PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET PEARSON PHARMD, MS (DIR OF PHCY)
(601) 713-3457
Entity
Organization

Contact information

Practice address
3156 LAWSON ST, JACKSON, MS 39213-5754
(601) 713-3457
(601) 364-2670
Mailing address
3156 LAWSON ST, JACKSON, MS 39213-5754
(601) 713-3457
(601) 364-2670

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
Primary
01085/5.1
MS
3336L0003X
Long Term Care Pharmacy
3336M0002X
Mail Order Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00030135
MS
01
2047531
PK
Enumeration date
04/12/2007
Last updated
09/19/2025
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