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University Pavilion Pharmacy
Clinic Pharmacy in Jackson, Mississippi
NPI 1417090093

University Pavilion Pharmacy is a Clinic Pharmacy based in Jackson, MS and is specialized in Clinic Pharmacy. University Pavilion Pharmacy practices in Jackson, MS. The NPI Number for University Pavilion Pharmacy is 1417090093 and holds a License No. 02188 (Mississippi).

The current practice location address for University Pavilion Pharmacy is 1410 E Woodrow Wilson Dr, Jackson, MS and can be reached out via phone at 601-984-2058 and via fax at 601-984-2063.

Location: 1410 E Woodrow Wilson Dr, Jackson, MS, 39216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417090093
Provider Name
University Pavilion Pharmacy
Credential
Provider Entity Type
Organization
Address
1410 E Woodrow Wilson Dr, Jackson, MS, 39216
Phone Number
601-984-2058
Fax Number
601-984-2063
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30158 05 MS
institution
Provider Business Practice Location Address Details
Address
1410 E Woodrow Wilson Dr
City
Jackson
State
Mississippi
Zip
39216
Phone Number
601-984-2058
Fax Number
601-984-2063
person
Provider Business Mailing Address Details
Address
1410 E Woodrow Wilson Dr
City
Jackson
State
Mississippi
Zip
39216
Phone Number
601-984-2058
Fax Number
601-984-2063
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
02188 (Mississippi)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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