Individual provider · Type 1 NPI

Charles Dylan Keveryn, PharmD

Pharmacist · Jackson, MS

NPI number 1104499243 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Call (601) 984-1000 Map

Mailing address

810 Bridgeport Dr
Madison, MS 39110-9610

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XE-100206 (MS)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104499243

Charles Dylan Keveryn, PharmD's National Provider Identifier is 1104499243, issued on Jul 16, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jackson, MS. The record was last updated on Nov 13, 2023.