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Sports Medicine Pharmacy Llc
Community/Retail Pharmacy in Jackson, Mississippi
NPI 1912452921

Sports Medicine Pharmacy Llc is a Community/Retail Pharmacy based in Jackson, MS and is specialized in Community/Retail Pharmacy. Sports Medicine Pharmacy Llc practices in Jackson, MS. The NPI Number for Sports Medicine Pharmacy Llc is 1912452921 and holds a License No. 14908 (Mississippi).

The current practice location address for Sports Medicine Pharmacy Llc is 1325 E Fortification St, Jackson, MS and can be reached out via phone at 601-354-4488 and via fax at 769-777-6390.

Location: 1325 E Fortification St, Jackson, MS, 39202-2442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912452921
Provider Name
Sports Medicine Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
1325 E Fortification St, Jackson, MS, 39202-2442
Phone Number
601-354-4488
Fax Number
769-777-6390
Provider Enumeration Date
08/19/2016
Last Update Date
03/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
06600515 05 MS
2162491 01 PK
institution
Provider Business Practice Location Address Details
Address
1325 E Fortification St
City
Jackson
State
Mississippi
Zip
39202-2442
Phone Number
601-354-4488
Fax Number
769-777-6390
person
Provider Business Mailing Address Details
Address
1325 E Fortification St
City
Jackson
State
Mississippi
Zip
39202-2442
Phone Number
601-354-4488
Fax Number
769-777-6390
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
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
14908 (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.
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