Individual provider · Type 1 NPI

Dewitt Divinity, RPH

Pharmacist · Jackson, MS

NPI number 1164528477 Active

Practice location

1500 E Woodrow Wilson Dr
Jackson, MS 39216-5199

Fax (601) 364-1578

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XT-09554 (MS)
Pharmacist 183500000X39763 (TX)

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…

4 other providers at this address

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About NPI 1164528477

Dewitt Divinity, RPH's National Provider Identifier is 1164528477, issued on Sep 15, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.