institution
Southeast Mississippi Rural Health Initiative, Inc.
Clinic Pharmacy in Hattiesburg, Mississippi
NPI 1871927517

Southeast Mississippi Rural Health Initiative, Inc. is a Clinic Pharmacy based in Hattiesburg, MS and is specialized in Clinic Pharmacy. Southeast Mississippi Rural Health Initiative, Inc. practices in Hattiesburg, MS. The NPI Number for Southeast Mississippi Rural Health Initiative, Inc. is 1871927517 and holds a License No. 06374/ 5.2 (Mississippi).

The current practice location address for Southeast Mississippi Rural Health Initiative, Inc. is 64 Old Airport Rd, Hattiesburg, MS and can be reached out via phone at 601-450-5661 and via fax at 601-544-8627.

Location: 64 Old Airport Rd, Hattiesburg, MS, 39403-1729
institution
Provider Profile Details
NPI Number
1871927517
Provider Name
Southeast Mississippi Rural Health Initiative, Inc.
Credential
Provider Entity Type
Organization
Address
64 Old Airport Rd, Hattiesburg, MS, 39403-1729
Phone Number
601-450-5661
Fax Number
601-544-8627
Provider Enumeration Date
08/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06374/5.2 01 MS PERMIT# 06374/5.2 - (LIMITED CLOSED DOOR)
CS06374/5.2 01 MS CONTROLLED SUBSTANCE REGISTRATION
institution
Provider Business Practice Location Address Details
Address
64 Old Airport Rd
City
State
Zip
39401-8382
Phone Number
601-450-5661
Fax Number
601-544-8627
person
Provider Business Mailing Address Details
Address
64 Old Airport Rd
City
State
Zip
39401-8382
Phone Number
601-450-5661
Fax Number
601-544-8627
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
06374/ 5.2 (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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