Organization · Type 2 NPI

Region 12 Commission On Mental Health & Retardation Pine

Community/Retail Pharmacy · Hattiesburg, MS

NPI number 1861645657 Active

Practice location

103 S 19th Ave
Hattiesburg, MS 39401-6171

Call (601) 544-4641 Map

Fax (601) 450-4632

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Community/Retail Pharmacy Primary 3336C0003X07864/5.1 (MS)

Community/Retail Pharmacy: 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 …

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About NPI 1861645657

Region 12 Commission On Mental Health & Retardation Pine's National Provider Identifier is 1861645657, issued on Oct 24, 2008. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Hattiesburg, MS. The record was last updated on Feb 16, 2017.