University Pavilion Pharmacy, NPI 1417090093
Clinic Pharmacy in Jackson, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1417090093
NPI Entity Type Organization
Provider Name University Pavilion Pharmacy
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1410 E Woodrow Wilson Dr, Jackson, MS, US
Provider Mailing Address 1410 E Woodrow Wilson Dr, Jackson, MS, US, 39216
Is Sole Proprietor? No
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Organization Official

Official Name MRS. R.PH. Susan Hartness Cobb
Official Position PHARMACY SUPERVISOR
Phone 601-984-2058

Primary Taxonomy

Taxonomy Code

3336C0002X

Taxonomy Name Clinic Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 02188
License State MS
Description A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Business Address

University Pavilion Pharmacy
1410 E Woodrow Wilson Dr

Jackson, MS, US

Phone: 601-984-2058
Fax: 601-984-2063

Mailing Address

University Pavilion Pharmacy
1410 E Woodrow Wilson Dr
Jackson, MS, US
ZIP 39216
Phone: 601-984-2058
Fax: 601-984-2063

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