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Hattiesburg Clinic Pa
Long Term Care Pharmacy in Hattiesburg, Mississippi
NPI 1407861016

Hattiesburg Clinic Pa is a Long Term Care Pharmacy based in Hattiesburg, MS and is specialized in Long Term Care Pharmacy. Hattiesburg Clinic Pa practices in Hattiesburg, MS. The NPI Number for Hattiesburg Clinic Pa is 1407861016 and holds a License No. (Mississippi).

The current practice location address for Hattiesburg Clinic Pa is Medical Blvd, Hattiesburg, MS and can be reached out via phone at 601-268-5740 and via fax at 601-268-5858.

Location: Medical Blvd, Hattiesburg, MS, 39401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407861016
Provider Name
Hattiesburg Clinic Pa
Credential
Provider Entity Type
Organization
Address
Medical Blvd, Hattiesburg, MS, 39401
Phone Number
601-268-5740
Fax Number
601-268-5858
Provider Enumeration Date
07/30/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2045095 01 PK
00030291 05 MS
institution
Provider Business Practice Location Address Details
Address
Medical Blvd
City
Hattiesburg
State
Mississippi
Zip
39401
Phone Number
601-268-5740
Fax Number
601-268-5858
person
Provider Business Mailing Address Details
Address
Medical Blvd
City
Hattiesburg
State
Mississippi
Zip
39401
Phone Number
601-268-5740
Fax Number
601-268-5858
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
01821/1.1 (Mississippi)
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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