Southwest Drugstore Of Ms Inc, NPI 1750421293
Community/Retail Pharmacy in Hattiesburg, 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 1750421293
NPI Entity Type Organization
Provider Name Southwest Drugstore Of Ms Inc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1601 Adeline St, Hattiesburg, MS, US
Provider Mailing Address 1601 Adeline St, Hattiesburg, MS, US, 394016267
Is Sole Proprietor? No
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Organization Official

Official Name Osher Moore
Official Position OWNER
Phone 601-898-7885

Primary Taxonomy

Taxonomy Code

3336C0003X

Taxonomy Name Community/Retail Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 0077500
License State MS
Description A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Other Organization Name

SOUTHWEST DRUG STORE
Doing Business As

Business Address

Southwest Drugstore Of Ms Inc
1601 Adeline St

Hattiesburg, MS, US

Phone: 601-582-2481
Fax: 601-545-3662

Mailing Address

Southwest Drugstore Of Ms Inc
1601 Adeline St
Hattiesburg, MS, US
ZIP 394016267

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

333600000X

Suppliers

Pharmacy

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2500913 OTHER ID NUMBER 01
2500913 OTHER ID NUMBER-COMMERCIAL NUMBER 01
0036251 MS MEDICAID 05

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