Organization · Type 2 NPI
MS State Dept of Health
Long Term Care Pharmacy · Jackson, MS
NPI number
1376606582
Active
Practice location
3156 Lawson Street
Jackson, MS 39213
Fax (601) 364-2670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 01085 05.1 (MS) |
| Clinic Pharmacy | 3336C0002X | 0108505.1 (MS) |
| Long Term Care Pharmacy Primary | 3336L0003X | None listed |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
2 other providers at this address
Other long term care pharmacy providers in Jackson
- MS State Department of Health PharmacyLong Term Care Pharmacy Jackson, MS NPI 1043434939
- Pharmacy Corporation of AmericaLong Term Care Pharmacy Jackson, MS NPI 1093748675
- Northtown Pharmacy LLCLong Term Care Pharmacy Jackson, MS NPI 1417794918
- Genoa Healthcare LLCLong Term Care Pharmacy Jackson, MS NPI 1720468911
About NPI 1376606582
MS State Dept of Health's National Provider Identifier is 1376606582, issued on Dec 18, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Jackson, MS. The record was last updated on Oct 22, 2024.