Organization · Type 2 NPI
Ancillary Medical Services
Managed Care Organization Pharmacy · Canton, MS
NPI number
1467708677
Active
Practice location
3309 S Liberty St
Canton, MS 39046-4511
Fax (601) 855-2133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Managed Care Organization Pharmacy Primary | 3336M0003X | None listed |
Managed Care Organization Pharmacy: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
About NPI 1467708677
Ancillary Medical Services's National Provider Identifier is 1467708677, issued on Jul 25, 2012. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Canton, MS. The record was last updated on Jul 25, 2012.