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Region 12 Commission On Mental Health & Retardation Pine
Community/Retail Pharmacy in Hattiesburg, Mississippi
NPI 1861645657

Region 12 Commission On Mental Health & Retardation Pine is a Community/Retail Pharmacy based in Hattiesburg, MS and is specialized in Community/Retail Pharmacy. Region 12 Commission On Mental Health & Retardation Pine practices in Hattiesburg, MS. The NPI Number for Region 12 Commission On Mental Health & Retardation Pine is 1861645657 and holds a License No. (Mississippi).

The current practice location address for Region 12 Commission On Mental Health & Retardation Pine is 103 S 19Th Ave, Hattiesburg, MS and can be reached out via phone at 601-544-4641 and via fax at 601-450-4632.

Location: 103 S 19Th Ave, Hattiesburg, MS, 39401-6171
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861645657
Provider Name
Region 12 Commission On Mental Health & Retardation Pine
Credential
Provider Entity Type
Organization
Address
103 S 19Th Ave, Hattiesburg, MS, 39401-6171
Phone Number
601-544-4641
Fax Number
601-450-4632
Provider Enumeration Date
10/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2117558 01 PK
institution
Provider Business Practice Location Address Details
Address
103 S 19Th Ave
City
Hattiesburg
State
Mississippi
Zip
39401-6171
Phone Number
601-544-4641
Fax Number
601-450-4632
person
Provider Business Mailing Address Details
Address
103 S 19Th Ave
City
Hattiesburg
State
Mississippi
Zip
39401-6171
Phone Number
601-544-4641
Fax Number
601-450-4632
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
07864/5.1 (Mississippi)
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.
()
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.
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